ALIREZA H NEZHAD


Address: 25 Libby St, Brockton, MA 02302-2949
Phone: 5089417700

ALIREZA H NEZHAD (NPI# 1689836868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689836868
Entity Type Individual
Full Name ALIREZA H NEZHAD
Other Name ALIREZA HOSSEINNEZHAD
Credential M.D.
Practice Address 25 Libby St
Brockton
MA 02302-2949
Mailing Address Po Box 40
Southbridge
MA 01550-0040
Practice Telephone 5089417700
Practice Fax Number 5089416334
Mailing Telephone 5089097799
Mailing Fax Number 5087642432
Enumeration Date 2008-06-27
Last Update Date 2019-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 245924 MA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
245924 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 Liberty St, Brockton, MA 023015674 5088940400 5088940699
680 Centre St, Brockton, MA 023023308 5089417700 5089416334
79 Sayles St, Southbridge, MA 015501729 5087646041 5087646318

Office Location

Street Address 25 LIBBY ST
City BROCKTON
State MA
Zip Code 02302-2949

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NPI Name Taxonomy Address Enumeration
1427513373 Miriam Monteiro Social Worker 688 Plain Street, Brockton, MA 02302 2019-02-05
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1700303856 My Care, LLC Home Health 307 Field Street, Brockton, MA 02302 2017-08-29
1982124988 Shavon Franks Psychologist 30 Downey Rd, Brockton, MA 02302 2017-06-21
1831629286 Kings & Queens Empowered Religious Nonmedical Health Care Institution 312 Carl Ave, Brockton, MA 02302 2017-06-18
1487193389 Roseline Eliezer Licensed Practical Nurse 17 Simeon Avenue, Brockton, MA 02302 2017-02-13
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790874352 Brockton Cardiology Associates, PC Internal Medicine 210 Quincy Ave, Brockton, MA 02302-2862 2006-10-12
1972569861 Clifford J Berger Internal Medicine 830 Oak St., Suite 205w, Brockton, MA 02301 2006-04-21
1053586487 Borzoo Nikpoor Internal Medicine 680 Centre St, Brockton, MA 02302-3308 2008-04-27
1932248721 Syed M Tahir Internal Medicine 110 Liberty Street, Brockton, MA 02301 2007-02-06
1942390208 Gary L Miller Internal Medicine 830 Oak St, Suite 205w, Brockton, MA 02301-1168 2006-10-14
1376562447 Bruce J Kriegel Internal Medicine 830 Oak St., Suite 205w, Brockton, MA 02301 2006-07-19
1457376717 Benoy J Zachariah Internal Medicine 830 Oak St, Suite 205w, Brockton, MA 02301 2006-07-13
1417904202 Barry M Arkin Internal Medicine 830 Oak St., Suite 205w, Brockton, MA 02301 2006-05-28
1104884022 Jean-pierre M. Geagea Internal Medicine 680 Centre St, Brockton, MA 02302-3308 2006-05-02
1437148145 Athanasios P Flessas Internal Medicine 830 Oak St, Suite 105 W, Brockton, MA 02301-1168 2005-10-14
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Competitor

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City BROCKTON
Zip Code 02302

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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