Movahedi, Babak

Movahedi, Babak is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Movahedi, Babak can be contacted via phone (508) 334-2023.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax: (508) 856-1102
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 253496 Massachusetts

Profile Details

NPI number 1841502291
LBN Legal business name Movahedi, Babak
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Nov 5th, 2020 - about 6 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 1841502291 NPPES
Massachusetts MEDICAID 110093686A

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