Individual
DR. KAMBIZ PAHLAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CENTURY DRIVE, WORCESTER, MA 01606
(844) 319-0000
(774) 701-0950
Mailing address
100 CENTURY DRIVE, WORCESTER, MA 01606
(844) 319-0000
(774) 701-0950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
33832
WI
2084P0800X
Psychiatry Physician
3655
NH
2084P0800X
Psychiatry Physician
Primary
44808
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31874200
—
WI
Enumeration date
02/15/2006
Last updated
05/26/2021
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