IRAJ AGHDASI (NPI# 1154405934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154405934 |
| Entity Type | Individual |
| Full Name | IRAJ AGHDASI |
| Credential | M.D. |
| Practice Address |
851 Main St Suite # 24 South Weymouth MA 02190-1612 |
| Practice Telephone | 7813318584 |
| Practice Fax Number | 7813318585 |
| Mailing Telephone | 7813318584 |
| Mailing Fax Number | 7813318585 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 39421 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2067463 | 05 |
| Street Address |
851 MAIN ST SUITE # 24 |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487041844 | Elizabeth Gruber | Registered Nurse | 851 Main St, Suite 16, South Weymouth, MA 02190-1612 | 2015-04-22 |
| 1063711414 | Donna Marie Chapman | Nurse Practitioner | 851 Main St, Suite One, South Weymouth, MA 02190-1612 | 2011-03-24 |
| 1659559177 | Paul J. Duggan, M.d. P.C. | Internal Medicine | 851 Main St, Suite 25, South Weymouth, MA 02190-1612 | 2008-02-06 |
| 1881751394 | Margaret Ann Vallen Mashikian | Allergy & Immunology | 851 Main St, Suite 21, South Weymouth, MA 02190-1612 | 2007-01-03 |
| 1124137484 | George J Cuchural Jr. | Specialist | 851 Main St, Suite 14, South Weymouth, MA 02190-1612 | 2006-08-30 |
| 1447266168 | Ann Dirr | Nurse Practitioner | 851 Main St, Suite 14, South Weymouth, MA 02190-1612 | 2006-08-01 |
| 1669496352 | Naomi Rounds | Internal Medicine | 851 Main St, Suite 14, South Weymouth, MA 02190-1612 | 2006-07-26 |
| 1346260866 | Park Dermatology Assoc PC | Dermatology | 851 Main St, South Weymouth, MA 02190 | 2006-07-20 |
| 1407896939 | Rajinder S Chawla | Internal Medicine | 851 Main St, Suite 1, South Weymouth, MA 02190-1612 | 2006-06-06 |
| 1457307134 | Jeffrey R Karen | Dentist | 851 Main St, Dentistry for Children - Nevin Professional Building, South Weymouth, MA 02190-1612 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013448539 | Ching Chan Reisig | Internal Medicine | 55 Fogg Rd # 73, South Weymouth, MA 02190-2455 | 2017-03-26 |
| 1346249000 | Peter A. Grape | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2005-07-15 |
| 1861848228 | Vivek Patel | Internal Medicine | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2016-05-04 |
| 1164809265 | Turner Medical Group | Internal Medicine | 571 Main St, Second Floor, South Weymouth, MA 02190-1843 | 2015-04-28 |
| 1538575915 | Shady Fattoum | Internal Medicine | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2014-07-07 |
| 1427499615 | Jaeyoung Lee | Internal Medicine | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2013-07-16 |
| 1659666261 | Deepak Chander | Internal Medicine | 101 Columbian St, South Weymouth, MA 02190-1601 | 2011-06-10 |
| 1154564227 | Pranitha Reddy | Internal Medicine | 70 Pleasant St, Box 315, South Weymouth, MA 02190-2427 | 2009-04-20 |
| 1144497025 | Jessica E Viola | Internal Medicine | 55 Fogg Rd, South Shore Hospital, South Weymouth, MA 02190-2432 | 2008-05-10 |
| 1659559177 | Paul J. Duggan, M.d. P.C. | Internal Medicine | 851 Main St, Suite 25, South Weymouth, MA 02190-1612 | 2008-02-06 |
| Find all providers in SOUTH WEYMOUTH | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
Please comment or provide details below to improve the information on IRAJ AGHDASI.
| 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.