# HANJANI PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558427070
- **Authorized official:** DR. SOHEIL HANJANI MD (PRESIDENT)
- **Authorized official phone:** (781) 585-9522

## Contact information

- **Practice address:** 830 OAK ST, STE 201W, BROCKTON, MA 02301-1168
- **Practice address phone:** (781) 585-9522
- **Practice address fax:** (781) 585-9544
- **Mailing address:** 830 OAK ST, STE 201W, BROCKTON, MA 02301-1168
- **Mailing address phone:** (781) 585-9522
- **Mailing address fax:** (781) 585-9544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 77682 | MA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 01/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 077682 | TUFTS | MA |
| 01 | — | 130077 | HARVARD PILGRIM HEALTHCAR | MA |
| 05 | — | 9724010 | — | MA |
| 01 | — | M18214 | BC/BS OF MA GROUP \# | MA |
| 01 | — | M21277 | MEDICARE GROUP NUMBER | MA |