| F Khajavi Md Facp Inc | |
|
3 Woodland Rd Ste 418 Stoneham MA 02180-1714 | |
| (781) 662-6213 | |
| (781) 665-9860 |
| Full Name | F Khajavi Md Facp Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3 Woodland Rd Ste 418, Stoneham, Massachusetts |
| Authorized Official Name and Position | Farrokh Khajavi (PRESIDENT) |
| Authorized Official Contact | 7816626213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F Khajavi Md Facp Inc 3 Woodland Rd Ste 418 Stoneham MA 02180-1714 Ph: (781) 662-6213 | F Khajavi Md Facp Inc 3 Woodland Rd Ste 418 Stoneham MA 02180-1714 Ph: (781) 662-6213 |
| NPI Number | 1457532194 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Medicare PECOS PAC ID | 0143395194 |
|---|---|
| Medicare Enrollment ID | O20080826000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457532194 | NPI | - | NPPES |
| 2002019 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Farrokh Khajavi Noori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073567749 PECOS PAC ID: 4082632237 Enrollment ID: I20051105000203 |
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