Moienafshari, Mohammad Reza

Moienafshari, Mohammad Reza is an individual health care provider with primary practice located at 644 W Putnam Ave , Greenwich CT 06830-6088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moienafshari, Mohammad Reza can be contacted via phone (203) 210-2810.

Contact Information

Primary practice address
644 W Putnam Ave Greenwich CT 06830-6088
Phone: (203) 210-2810
Fax: (203) 210-2811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 302563 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 039581 Connecticut

Profile Details

NPI number 1154396893
LBN Legal business name Moienafshari, Mohammad Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 25th, 2020 - about 4 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 1154396893 NPPES
Connecticut MEDICAID 1154396893

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