| Boris Vatel | |
|
2015 Maxwell Ave Evansville IN 47711-4359 | |
| (812) 422-7974 | |
| (812) 422-8163 |
| Full Name | Boris Vatel |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2015 Maxwell Ave, Evansville, Indiana |
| Authorized Official Name and Position | Boris Vatel (PHYSICIAN) |
| Authorized Official Contact | 8124227974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Vatel 2015 Maxwell Ave Evansville IN 47711-4359 Ph: (812) 422-7974 | Boris Vatel 2015 Maxwell Ave Evansville IN 47711-4359 Ph: (812) 422-7974 |
| NPI Number | 1427353945 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427353945 | NPI | - | NPPES |
| 200837630 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01056148A (Indiana) | Primary |
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