Individual
RAMIN KHORASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-7941
(617) 730-2869
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-7941
(617) 730-2869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
80244
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080244
TUFTS HEALTH CARE
MA
05
—
3135080
—
MA
01
—
J31086
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/11/2005
Last updated
09/11/2012
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