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Individual

DR. MEHRAN SHAHSAVARI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36 WOBURN STREET, SUITE 14, NORTH READING, MA 01864
(781) 944-1024
Mailing address
36 WOBURN STREET, SUITE 14, NORTH READING, MA 01864
(781) 944-1024

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41987
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0803499
MA
01
B33643
BLUE CROSS PROVIDER #
MA
Enumeration date
05/23/2006
Last updated
07/09/2007
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