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
Phone: (978) 354-2815
Fax: (978) 740-4702
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376533539 | NPPES |
| Massachusetts | MEDICAID | 3175812 | |
| Massachusetts | Other | J18640 | |
| Massachusetts | Other | 153785 |
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