Mehr, Mehrdad
Mehr, Mehrdad is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Mehr, Mehrdad can be contacted via phone (617) 414-5170.Contact Information
Primary practice address
1 Boston Medical Ctr Pl
Boston MA 02118-2908
Phone: (617) 414-5170
Fax: (617) 414-3803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 152593 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 152593 | Massachusetts |
Profile Details
NPI number | 1982686549 |
---|---|
LBN Legal business name | Mehr, Mehrdad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 18th, 2005 |
Last updated | Jan 10th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982686549 | NPPES |
Massachusetts | MEDICAID | 3186237 |
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