Active NPIIndividual provider

Dr. Mohammad Reza Moienafshari, MD

Internal Medicine in Greenwich, Connecticut

NPI Number1154396893
Practice location
644 W Putnam Ave, Greenwich, CT 06830-6088
Fax
203-210-2811
Last updated
January 25, 2020

Mohammad Reza Moienafshari is an Internal Medicine based in Greenwich, CT. Mohammad Reza Moienafshari practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Mohammad Reza Moienafshari is 1154396893 and holds a License No. 302563 (NY). The current practice location address for Mohammad Reza Moienafshari is 644 W Putnam Ave, Greenwich, CT 06830-6088 and can be reached out via phone at 203-210-2810 and via fax at 203-210-2811.

Provider Profile Details

NPI Number
1154396893
Provider Name
Mohammad Reza Moienafshari
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
644 W Putnam Ave, Greenwich, CT 06830-6088
Phone Number
203-210-2810
Fax Number
203-210-2811
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2006
Last Update Date
January 25, 2020
Certification Date
January 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
644 W Putnam Ave
Greenwich, CT 06830-6088
Zip
06830-6088
Phone Number
203-210-2810
Fax Number
203-210-2811
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
2700 Westchester Ave
Purchase, NY 10577-2547
City
Purchase
State
NY
Zip
10577-2547
Phone Number
914-607-5730

License Information

License Number (1)
302563
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
039581
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mohammad Reza Moienafshari, MD?

The NPI number of Dr. Mohammad Reza Moienafshari, MD is 1154396893. It was assigned on February 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mohammad Reza Moienafshari, MD?

Dr. Mohammad Reza Moienafshari, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 302563.

Where does Dr. Mohammad Reza Moienafshari, MD practice?

The practice location is 644 W Putnam Ave, Greenwich, CT 06830-6088. The office can be reached at 203-210-2810 (phone) or 203-210-2811 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154396893 directly on the NPPES registry website.

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