Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 253189 | MA |
Y | 2082S0105X | Plastic Hand Surgeon | 253189 | MA |
NPI | 1124331061 |
---|---|
Provider Name | Arriyan Dowlatshahi |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215-5400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2010 |
Last Update Date | 18/12/2018 |