Individual
MOHSEN DAVOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CPMP, HSC L5, RM 048, 100 NICOLLS ROAD, STONY BROOK, NY 11794-8552
(917) 414-9517
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1026247
MA
207R00000X
Internal Medicine Physician
A86885
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1026247
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A86885
CA
207RP1001X
Pulmonary Disease Physician
Primary
1026247
MA
207RP1001X
Pulmonary Disease Physician
A86885
CA
Other
Enumeration date
06/04/2007
Last updated
07/31/2026
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