Provider Demographics
NPI:1982724852
Name:PHANSALKAR, SACHIN SHAMKANT (MD)
Entity type:Individual
Prefix:
First Name:SACHIN
Middle Name:SHAMKANT
Last Name:PHANSALKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:800 S MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-3144
Mailing Address - Country:US
Mailing Address - Phone:508-261-7111
Mailing Address - Fax:508-261-7112
Practice Address - Street 1:800 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-3144
Practice Address - Country:US
Practice Address - Phone:508-261-7111
Practice Address - Fax:508-261-7112
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2326692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry