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

Eitan Neidich, MD

Individual provider Surgery Physician · NPI 1396193363

Eitan Neidich, MD is a General Surgery in Boston, Massachusetts. Graduated from University of California, San Francisco School of Medicine in 2016, 10 years ago. Practices with Shyamali Mallick Singhal MD PHD Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Trained at
University of California, San Francisco School of Medicine
Licensed in
MA
In the registry since
2016
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

800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 267223 (MA)

Record details

NPI number1396193363
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 31, 2016
Mailing address554 48th Ave, San Francisco, CA 94121-2427

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Shyamali Mallick Singhal Md Phd Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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