Pahlavan, Kambiz

Pahlavan, Kambiz is an individual health care provider with primary practice located at 100 Century Drive , Worcester MA 01606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pahlavan, Kambiz can be contacted via phone (844) 319-0000.

Contact Information

Primary practice address
100 Century Drive Worcester MA 01606
Phone: (844) 319-0000
Fax: (774) 701-0950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33832 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 3655 New Hampshire
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44808 Massachusetts

Profile Details

NPI number 1235103375
LBN Legal business name Pahlavan, Kambiz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 26th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235103375 NPPES
Wisconsin MEDICAID 31874200

Popular Providers