Individual
ALI R NIAKOSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENERAL ST, L&M RADIOLOGY, INC., LAWRENCE, MA 01841-2961
(978) 946-8103
(978) 946-8067
Mailing address
PO BOX 847235, L&M RADIOLOGY, INC., BOSTON, MA 02284-7235
(978) 266-2676
(978) 266-2680
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
229677
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y010905MA01
ANTHEM
NH
01
—
074962230
CHAMPUS/TRICARE
—
01
—
101581
HEALTHY START
MA
01
—
101845900
CIGNA
MA
01
—
1421862
AETNA/USHC
—
05
—
2122481
—
MA
01
—
23166
BMC HEALTHNET PLAN
MA
05
—
30206162
—
NH
01
—
495236
TUFTS
MA
01
—
95779
FALLON
MA
01
—
96483101
NETWORK HEALTH
MA
01
—
AA69178
HARVARD PILGRIM
MA
01
—
J40429
BLUE CROSSBLUE SHIELD
MA
01
—
P0036087
RAILROAD MEDICARE
—
Enumeration date
11/09/2005
Last updated
04/19/2024
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