Rahbar, Reza

Rahbar, Reza is an individual health care provider with primary practice located at 333 Longwood Ave Floor 3, Boston MA 02115-5711. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Otolaryngology. Dental Providers / Dentist is his primary health care specialty. Rahbar, Reza can be contacted via phone (617) 355-6417.

Contact Information

Primary practice address
333 Longwood Ave Floor 3 Boston MA 02115-5711
Phone: (617) 355-6417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 17270 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 80628 Massachusetts

Profile Details

NPI number 1780657494
LBN Legal business name Rahbar, Reza
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 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 1780657494 NPPES
Massachusetts MEDICAID 3181898

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