Kasravi, Barsam
Kasravi, Barsam is an individual health care provider with primary practice located at 75 Bickford St , Jamaica Plain MA 02130-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kasravi, Barsam can be contacted via phone (617) 971-2100.Contact Information
Primary practice address
75 Bickford St
Jamaica Plain MA 02130-1401
Phone: (617) 971-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 222774 | Massachusetts |
Profile Details
| NPI number | 1881791838 |
|---|---|
| LBN Legal business name | Kasravi, Barsam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 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 | 1881791838 | NPPES |
| Massachusetts | Other | J28549 | BLUE CROSS |
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