Moaddab, Mehrak

Moaddab, Mehrak is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Moaddab, Mehrak can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 295432 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 295432 Massachusetts

Profile Details

NPI number 1649760018
LBN Legal business name Moaddab, Mehrak
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2018
Last updated Jul 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649760018 NPPES
Massachusetts MEDICAID 110179413A

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