Individual
HAMID REZA DANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 746-7778
(978) 970-0359
Mailing address
585-597 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 746-7778
(978) 970-0359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223435
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036399
NEIGHBORHOOD HEALTH PLAN
—
01
—
042881348
BEECH STREET
—
05
—
13305557
—
MA
01
—
3989627
AETNA
—
01
—
494257
TUFTS
—
01
—
90957
FALLON
—
01
—
966127
NETWORK HEALTH
—
01
—
AA42182
HARVARD PILGRIM HEALTH CA
—
01
—
J29212
BLUE CROSS BLUE SHIELD
—
01
—
MX9720
MEDICARE PTAN
MA
Enumeration date
02/14/2006
Last updated
08/22/2008
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