Ghazvinian, Sasan
Ghazvinian, Sasan is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ghazvinian, Sasan can be contacted via phone (617) 323-7700.Contact Information
Primary practice address
1400 Vfw Pkwy
West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36271 | Massachusetts |
Profile Details
| NPI number | 1164528006 |
|---|---|
| LBN Legal business name | Ghazvinian, Sasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1164528006 | NPPES |
| Massachusetts | Other | 36271 | LICENSE |
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