Individual
FEREYDOUN SHAHROKHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WOODLAND ROAD, SUITE #200, STONEHAM, MA 02180
(781) 662-9001
(781) 662-3888
Mailing address
3 WOODLAND ROAD, SUITE #200, STONEHAM, MA 02180
(781) 662-9001
(781) 662-3888
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
039030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140589
—
MA
01
—
039030
TUFTS
—
01
—
0500056
UNITED HEALTH WARWICK RI
—
01
—
11902
HARVARD
—
01
—
29151
AETNA US HLTH
—
01
—
95270
EMPIRE BC BS
—
01
—
B20546401
CIGNA
—
01
—
S009876
CHAMPUS
—
Enumeration date
03/23/2006
Last updated
01/31/2013
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