Wren, Donna Khodarahmi

Wren, Donna Khodarahmi is an individual health care provider with primary practice located at 81 Highland Ave North Shore Medical Center, Salem MA 01970-2714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wren, Donna Khodarahmi can be contacted via phone (978) 354-2815.

Contact Information

Primary practice address
81 Highland Ave North Shore Medical Center Salem MA 01970-2714
Fax: (978) 740-4702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 153785 Massachusetts

Profile Details

NPI number 1376533539
LBN Legal business name Wren, Donna Khodarahmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1376533539 NPPES
Massachusetts MEDICAID 3175812
Massachusetts Other J18640
Massachusetts Other 153785

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