| Iraj Aghdasi, Md Pc | |
|
851 Main St Suite 24 Weymouth MA 02190-1612 | |
| (781) 331-8584 | |
| Not Available |
| Full Name | Iraj Aghdasi, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 851 Main St, Weymouth, Massachusetts |
| Authorized Official Name and Position | Iraj Aghdasi (OWNER) |
| Authorized Official Contact | 7813318584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iraj Aghdasi, Md Pc 851 Main St Suite 24 Weymouth MA 02190-1612 Ph: (781) 331-8584 | Iraj Aghdasi, Md Pc 851 Main St Suite 24 Weymouth MA 02190-1612 Ph: (781) 331-8584 |
| NPI Number | 1922253657 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Medicare PECOS PAC ID | 2062685233 |
|---|---|
| Medicare Enrollment ID | O20111103000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922253657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39421 (Massachusetts) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| Provider Name | Iraj Aghdasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154405934 PECOS PAC ID: 6305019571 Enrollment ID: I20111103000449 |
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