Manucher Fardi, MD is a
Pathology - Anatomic Pathology physician based in Leominster, Massachusetts. Manucher Fardi is licensed to practice in Massachusetts (license number 78320) and his current practice location is 105 Erdman Way, Leominster, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(978) 466-7800.
NPI number for Manucher Fardi is 1578552022 and his current mailing address is 58 Edgelawn Ave, Unit #12, North Andover, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578552022.
Physician's Profile
Full Name | Manucher Fardi |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology |
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Location | 105 Erdman Way, Leominster, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578552022
- Provider Enumeration Date: 10/18/2005
- Last Update Date: 12/23/2015
Medical Identifiers
Medical identifiers for Manucher Fardi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578552022 | NPI | - | NPPES |
078320 | Other | MA | TUFTS |
AA8479 | Other | MA | HPHC |
J17221 | Other | MA | BCBS |
3159531 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 78320 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Manucher Fardi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Manucher Fardi, MD 58 Edgelawn Ave, Unit #12, North Andover, MA 01845-4479 Ph: (978) 944-0981 | Manucher Fardi, MD 105 Erdman Way, Leominster, MA 01453-1805 Ph: (978) 466-7800 |
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