Benjamin Fakharzadeh, MM
Radiology, Diagnostic Radiology in Gardner, Massachusetts
1689801391- Practice location
- 242 Green St, Gardner, MA 01440-1336
- Phone
- 978-630-6235
- Fax
- —
- Last updated
- February 14, 2018
Benjamin Fakharzadeh is a Radiology, Diagnostic Radiology based in Gardner, MA. Benjamin Fakharzadeh practices in Gardner, MA and has the professional credentials of MM. The NPI Number for Benjamin Fakharzadeh is 1689801391 and holds a License No. 241602 (MA). The current practice location address for Benjamin Fakharzadeh is 242 Green St, Gardner, MA 01440-1336 and can be reached out via phone at 978-630-6235.
Provider Profile Details
- NPI Number
- 1689801391
- Provider Name
- Benjamin Fakharzadeh
- Credential
- MM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 242 Green St, Gardner, MA 01440-1336
- Phone Number
- 978-630-6235
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 20, 2009
- Last Update Date
- February 14, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 242 Green St
Gardner, MA 01440-1336 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440-1336
- Phone Number
- 978-630-6235
Provider Business Mailing Address Details
- Address
- 2527 Cranberry Hwy
Wareham, MA 02571-1046 - City
- Wareham
- State
- MA
- Zip
- 02571-1046
- Phone Number
- 800-841-5200
- Fax Number
- 508-273-1241
License Information
- License Number (1)
- 241602
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 273798
- License State (2)
- MA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Gardner, MA
View all Radiology, Diagnostic Radiology providers in Gardner →Frequently Asked Questions
What is the NPI number of Benjamin Fakharzadeh, MM?
The NPI number of Benjamin Fakharzadeh, MM is 1689801391. It was assigned on June 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Benjamin Fakharzadeh, MM?
Benjamin Fakharzadeh, MM is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 241602.
Where does Benjamin Fakharzadeh, MM practice?
The practice location is 242 Green St, Gardner, MA 01440-1336. The office can be reached at 978-630-6235 (phone).
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 1689801391 directly on the NPPES registry website.