Ahad A Fazelat
Ophthalmologist Retina Specialist
250 River Rd
Manchester
, New Hampshire 03104-2423
Ahad A Fazelat
Ophthalmologist Retina Specialist
250 River Rd
Manchester
, New Hampshire 03104-2423
(603) 668-0881
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About
Features
Specialties
- Ophthalmologist
- Retina Specialist
Languages spoken
- English
Location
First Address
- Ahad A Fazelat
- 250 River Rd
- Manchester, NH
- Zip : 03104-2423
- Fax : (603) 668-0881
- Phone : (603) 663-2020
Second Address
- Ahad A Fazelat
- 250 River Rd
- Manchester, NH
- Zip : 03104-2423
- Fax : (603) 668-0881
- Phone : (603) 663-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 15150 | NH |
| N | 207WX0107X | Retina Specialist | 15150 | NH |
National Provider Identifier
| NPI | 1013141597 |
|---|---|
| Provider Name | Ahad A Fazelat |
| First Address | Manchester, NH 03104-2423 |
| Second Address | Manchester, NH 03104-2423 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2009 |
| Last Update Date | 21/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.