Mobasherat, Mohammed E

Mobasherat, Mohammed E is an individual health care provider with primary practice located at 3850 Mystic Valley Pkwy Meadow Glen Mall, Medford MA 02155. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is his primary health care specialty. Mobasherat, Mohammed E can be contacted via phone (781) 396-6613.

Contact Information

Primary practice address
3850 Mystic Valley Pkwy Meadow Glen Mall Medford MA 02155
Phone: (781) 396-6613
Fax: (781) 395-4292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15376 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X 15376 Massachusetts

Profile Details

NPI number 1427118934
LBN Legal business name Mobasherat, Mohammed E
Credentials DMD MSCD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1427118934 NPPES
Massachusetts MEDICAID 9770658

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