Khosro Farhad (NPI# 1609069111, PAC ID# 2365685393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1609069111 |
| PAC ID by PECOS | 2365685393 |
| Professional Enrollment ID | I20130823000543 |
| Full Name | Khosro Farhad |
| Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Address |
67 Corporate Dr Portsmouth NH 03801-2847 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5496749848 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300018 | WENTWORTH-DOUGLASS HOSPITAL |
| 300014 | FRISBIE MEMORIAL HOSPITAL |
| 220071 | MASSACHUSETTS GENERAL HOSPITAL |
| 301312 | HUGGINS HOSPITAL |
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Fruit St, Boston, MA 02114-2696 | 6177240287 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC |
| 10 Members Way, Dover, NH 03820-5933 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION | |
| 10 Members Way 5th Floor, Whp Internal Medicine, Dover, NH 03820-5933 | 6036096800 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| 789 Central Ave, Dover, NH 03820-2526 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION | |
| 67 Corporate Dr, Portsmouth, NH 03801-2847 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION | |
| 73 Corporate Dr, Portsmouth, NH 03801-2847 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Mcgann | Obstetrics/gynecology | Wentworth Douglass Physician Corporation | 789 Central Ave, Dover, NH 03820-2526 |
| Kathleen White | Nurse Practitioner | Wentworth Douglass Physician Corporation | 10 Members Way 5th Floor, Whp Internal Medicine, Dover, NH 03820-5933 |
| Deborah A Learson | Family Medicine | Wentworth Douglass Physician Corporation | 60 Exeter Rd Unit, 3 Great Bay Family Practice, Newmarket, NH 03857-1906 |
| Melissa J Iudice | Clinical Social Worker | Wentworth Douglass Physician Corporation | 15 Old Rollinsford Rd, Suite 302, Dover, NH 03820-2819 |
| Christopher D Lawson | Interventional Cardiology | Wentworth Douglass Physician Corporation | 801 Central Ave, Level1, Dover, NH 03820-2529 |
| Ritoban Sen | Vascular Surgery | Wentworth Douglass Physician Corporation | 19 Old Rollinsford Rd, Bldg B, Dover, NH 03820-2807 |
| Wilhelmina D Cabalona | Hematology/oncology | Wentworth Douglass Physician Corporation | 121 Corporate Dr, Suite 200, Portsmouth, NH 03801-6825 |
| Jennifer M Stout | Clinical Social Worker | Wentworth Douglass Physician Corporation | 798 Central Ave, Dover, NH 03820-2520 |
| Abigail Trnovsky | Clinical Social Worker | Wentworth Douglass Physician Corporation | 65 Calef Hwy, Suite 200, Lee, NH 03861-6703 |
| Cheryl A Corrao | Physician Assistant | Wentworth Douglass Physician Corporation | 19 Levesque Dr, Eliot, ME 03903-2077 |
| Street Address |
67 CORPORATE DR |
| City | PORTSMOUTH |
| State | NH |
| Zip | 03801-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abbey Rose Tedford | Physician Assistant | Wentworth Douglass Physician Corporation | 67 Corporate Dr, Portsmouth, NH 03801-2847 |
| Bridget M Viens | Physician Assistant | Wentworth Douglass Physician Corporation | 67 Corporate Dr, Portsmouth, NH 03801-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Detolla | Maxillofacial Surgery | 200 Griffin Park Rd, Suite 8, Portsmouth, NH 03801 | |
| Kristina Zorger | Psychologist, Clinical | 30 Mirona Rd Extension, Portsmouth, NH 03801 | |
| Deeptha Sastry | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Mark A Chag | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Patricia M Yauch | Nurse Practitioner | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Emily Jerszyk Amarosa | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Wendy A Mclaughlin | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Sonja N Nelson | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Caroline Scoones | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Heidi Keup | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Find all physicians in zip 03801 | |||
| City | PORTSMOUTH |
| Zip Code | 03801 |
| Specialty | NEUROLOGY |
| City + Specialty | PORTSMOUTH + NEUROLOGY |
Please comment or provide details below to improve the information on Khosro Farhad.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.