Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Granville Lake Baxa, MD

Individual provider Anesthesiology Physician · NPI 1255182861

Dr. Granville Lake Baxa, MD is an Anesthesiology Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 Albany St
Boston, MA 02118-2520
Phone: (617) 638-6950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 3016241 (MA)

Record details

NPI number1255182861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

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