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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881791838 NPPES
Massachusetts Other J28549 BLUE CROSS

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