Ghazvinian, Sasan

Ghazvinian, Sasan is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ghazvinian, Sasan can be contacted via phone (617) 323-7700.

Contact Information

Primary practice address
1400 Vfw Pkwy West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36271 Massachusetts

Profile Details

NPI number 1164528006
LBN Legal business name Ghazvinian, Sasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164528006 NPPES
Massachusetts Other 36271 LICENSE

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