Basic Information
Provider Information
NPI: 1467574061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOCHAR
FirstName: JINESH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1070
Address2:  
City: FALL RIVER
State: MA
PostalCode: 027221070
CountryCode: US
TelephoneNumber: 5086763292
FaxNumber: 5086722836
Practice Location
Address1: 277 PLEASANT ST
Address2: PRIMA CARE, PC
City: FALL RIVER
State: MA
PostalCode: 027213005
CountryCode: US
TelephoneNumber: 5086763292
FaxNumber: 5086727181
Other Information
ProviderEnumerationDate: 04/04/2007
LastUpdateDate: 10/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X243070MAN Allopathic & Osteopathic PhysiciansHospitalist 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XMA243070MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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