Rahbar, Reza
Rahbar, Reza is an individual health care provider with primary practice located at 333 Longwood Ave Floor 3, Boston MA 02115-5711. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Otolaryngology. Dental Providers / Dentist is his primary health care specialty. Rahbar, Reza can be contacted via phone (617) 355-6417.Contact Information
Primary practice address
333 Longwood Ave Floor 3
Boston MA 02115-5711
Phone: (617) 355-6417
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17270 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 80628 | Massachusetts |
Profile Details
| NPI number | 1780657494 |
|---|---|
| LBN Legal business name | Rahbar, Reza |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1780657494 | NPPES |
| Massachusetts | MEDICAID | 3181898 |
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