Payvandi, Lily N

Payvandi, Lily N is an individual health care provider with primary practice located at 11 Melnea Cass Blvd , Boston MA 02119-4401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Payvandi, Lily N can be contacted via phone (617) 414-2080.

Contact Information

Primary practice address
11 Melnea Cass Blvd Boston MA 02119-4401
Phone: (617) 414-2080
Fax: (617) 414-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT213357 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X 283291 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 283291 Massachusetts

Profile Details

NPI number 1457889263
LBN Legal business name Payvandi, Lily N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2017
Last updated Jun 9th, 2023 - about 2 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 1457889263 NPPES
New Hampshire MEDICAID 3138552
New Hampshire MEDICAID 110163303A

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