Eliassi-Rad, Babak
Eliassi-Rad, Babak is an individual health care provider with primary practice located at 500 Faunce Corner Rd Ste 110 , N Dartmouth MA 02747-1255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Eliassi-Rad, Babak can be contacted via phone (508) 717-0270.Contact Information
Primary practice address
500 Faunce Corner Rd Ste 110
N Dartmouth MA 02747-1255
Phone: (508) 717-0270
Fax: (508) 717-0270
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 205945 | Massachusetts |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 205945 | Massachusetts |
Profile Details
NPI number | 1013903822 |
---|---|
LBN Legal business name | Eliassi-Rad, Babak |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Jul 13th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013903822 | NPPES |
Massachusetts | Other | J23120 | BCBS |
Massachusetts | Other | 2485325 | BCBS |
Massachusetts | Other | 152365BMC | BCBS |
Massachusetts | Other | 205945 | BCBS |
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