Sekhavat, Sepehr

Sekhavat, Sepehr is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Sekhavat, Sepehr can be contacted via phone (617) 414-4841.

Contact Information

Primary practice address
850 Harrison Ave Yacc5 Boston MA 02118-4001
Phone: (617) 414-4841
Fax: (617) 414-4547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 213037 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 213037 Massachusetts

Profile Details

NPI number 1639150626
LBN Legal business name Sekhavat, Sepehr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 9th, 2014 - about 12 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 1639150626 NPPES
Massachusetts MEDICAID 110041604A

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