Active NPIIndividual provider

Dr. Marta M Redjaee, MD

General Practice in Manchester, New Hampshire

NPI Number1770769515
Practice location
718 Smyth RD, Manchester, NH 03104-7007
Fax
603-629-3268
Last updated
April 2, 2020

Marta Maryam Redjaee is a General Practice based in Manchester, NH. Marta Maryam Redjaee practices in Manchester, NH and has the professional credentials of MD. The NPI Number for Marta Maryam Redjaee is 1770769515 and holds a License No. 233901 (MA). The current practice location address for Marta Maryam Redjaee is 718 Smyth RD, Manchester, NH 03104-7007 and can be reached out via phone at 603-624-4366 and via fax at 603-629-3268.

Provider Profile Details

NPI Number
1770769515
Provider Name
Marta Maryam Redjaee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
718 Smyth RD, Manchester, NH 03104-7007
Phone Number
603-624-4366
Fax Number
603-629-3268
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Other Names
Maryam Redjaee, MD (Professional Name)
Provider Enumeration Date
January 10, 2008
Last Update Date
April 2, 2020
Certification Date
April 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
718 Smyth RD
Manchester, NH 03104-7007
Zip
03104-7007
Phone Number
603-624-4366
Fax Number
603-629-3268
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
718 Smyth RD
Manchester, NH 03104-7007
City
Manchester
State
NH
Zip
03104-7007
Phone Number
603-624-4366
Fax Number
603-629-3268

License Information

License Number (1)
233901
License State (1)
MA
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
61691-20
License State (2)
WI
Taxonomy (2)
General Practice · 208D00000X · 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. Marta M Redjaee, MD?

The NPI number of Dr. Marta M Redjaee, MD is 1770769515. It was assigned on January 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Marta M Redjaee, MD?

Dr. Marta M Redjaee, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in MA under license number 233901.

Where does Dr. Marta M Redjaee, MD practice?

The practice location is 718 Smyth RD, Manchester, NH 03104-7007. The office can be reached at 603-624-4366 (phone) or 603-629-3268 (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 1770769515 directly on the NPPES registry website.

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