Khadivi, Noosha

Khadivi, Noosha is an sole proprietor health care provider with primary practice located at 170 Mediterranean Dr Apt 59 , Weymouth MA 02188-3849. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Khadivi, Noosha can be contacted via phone (781) 243-1028.

Contact Information

Primary practice address
170 Mediterranean Dr Apt 59 Weymouth MA 02188-3849
Phone: (781) 243-1028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1856745 Massachusetts

Profile Details

NPI number 1194129437
LBN Legal business name Khadivi, Noosha
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2014
Last updated Mar 2nd, 2016 - about 9 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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