Individual
SHIVA RASTEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-5700
(413) 794-1767
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-3909
(413) 794-1629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248878
MA
208M00000X
Hospitalist Physician
Primary
248878
MA
Other
Enumeration date
08/30/2011
Last updated
04/11/2017
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