Active NPIIndividual provider

Kayvon Izadpanah

Emergency Medicine in Weymouth, Massachusetts

NPI Number1477915619
Practice location
55 Fogg RD, Weymouth, MA 02190-2432
Fax
781-878-6750
Last updated
August 6, 2019

Kayvon Izadpanah is an Emergency Medicine based in Weymouth, MA. Kayvon Izadpanah practices in Weymouth, MA. The NPI Number for Kayvon Izadpanah is 1477915619 and holds a License No. 278853 (MA). The current practice location address for Kayvon Izadpanah is 55 Fogg RD, Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000 and via fax at 781-878-6750.

Provider Profile Details

NPI Number
1477915619
Provider Name
Kayvon Izadpanah
Provider Entity Type
Individual
Gender
Male
Address
55 Fogg RD, Weymouth, MA 02190-2432
Phone Number
781-624-8000
Fax Number
781-878-6750
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2016
Last Update Date
August 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
Fax Number
781-878-6750
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
141 Longwater Dr Ste 201
Norwell, MA 02061-1620
City
Norwell
State
MA
Zip
02061-1620
Phone Number
781-792-4136
Fax Number
781-878-6750

License Information

License Number
278853
License State
MA
Taxonomy
Emergency Medicine · 207P00000X · 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 Kayvon Izadpanah?

The NPI number of Kayvon Izadpanah is 1477915619. It was assigned on March 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Kayvon Izadpanah?

Kayvon Izadpanah is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 278853.

Where does Kayvon Izadpanah practice?

The practice location is 55 Fogg RD, Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (phone) or 781-878-6750 (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 1477915619 directly on the NPPES registry website.

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