Individual
DR. BABAK ELIASSI-RAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
205945
MA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
205945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152365BMC
HARVARD PILGRIM HEALTH CA
MA
01
—
205945
TUFTS
MA
01
—
2485325
AETNA
MA
01
—
J23120
BCBS
MA
Enumeration date
09/27/2005
Last updated
07/13/2023
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