Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 286851 | MA |
NPI | 1003261785 |
---|---|
Provider Name | Vahid Kiarad |
First Address | Wellesley, MA 02482-4732 |
Second Address | Boston, MA 02215-5491 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2016 |
Last Update Date | 08/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
286851 | MA BOARD OF REGISTRATION IN MEDICINE (01) | MA |