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Individual

DR. KHASHAYAR RAFATZAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FRCPC

Contact information

Practice address
55 LAKE AVE N, S2-824, WORCESTER, MA 01655-0002
(514) 880-2788
Mailing address
55 LAKE AVE N, S2-824, WORCESTER, MA 01655-0002
(514) 880-2788

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
242608
MA
282N00000X
General Acute Care Hospital
Primary
242608
MA

Other

Enumeration date
11/13/2009
Last updated
07/02/2014
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