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

Soravis Osataphan

Individual provider Hematology & Oncology Physician · NPI 1164086518

Soravis Osataphan is a Hematology/Oncology in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 499-5639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 1023906 (MA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 1023906 (MA)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence 1023906 (MA)

Record details

NPI number1164086518
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address330 Brookline Ave, Boston, MA 02215-5400

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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