Osataphan, Soravis

Osataphan, Soravis is an sole proprietor health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Osataphan, Soravis can be contacted via phone (617) 499-5639.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 499-5639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1023906 Massachusetts
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 1023906 Massachusetts
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 1023906 Massachusetts

Profile Details

NPI number 1164086518
LBN Legal business name Osataphan, Soravis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2019
Last updated Oct 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers