# BIJAN NASSERI NIAKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235297250
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 72033 | MA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 11/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110052356A | — | MA |
| 05 | — | 3103421 | — | MA |
| 01 | — | 7497480 | AETNA | — |
| 01 | — | AA181571 | HARVARD PILGRIM | MA |