# PBH PROFESSIONAL GROUP, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PATH Worcester Professional Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457945446
- **Authorized official:** FLORA F. SADRI-AZARBAYEJANI D.O. (PRESIDENT AND SECRETARY)
- **Authorized official phone:** (615) 308-7871

## Contact information

- **Practice address:** 1329 MAIN ST STE 100, WORCESTER, MA 01603-1548
- **Practice address phone:** (508) 556-2002
- **Mailing address:** 103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
- **Mailing address phone:** (615) 308-7871
- **Mailing address fax:** (615) 261-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 02/22/2021