REZA FAZEL (NPI# 1881795730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881795730 |
| Entity Type | Individual |
| Full Name | REZA FAZEL |
| Credential | M.D., M.SC. |
| Practice Address |
70 Francis St Sh-5 Boston MA 02115-6134 |
| Mailing Address |
1228 Colvin Meadows Ln Great Falls VA 22066-1801 |
| Practice Telephone | 8573071979 |
| Practice Fax Number | 8573071955 |
| Mailing Telephone | 4043109722 |
| Mailing Fax Number | 8889595133 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101260377 | VA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD2015-0931 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
258103 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Davis St Ste 1, Blacksburg, VA 240607022 | 5409610218 |
| Street Address |
70 FRANCIS ST SH-5 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679563316 | Maria A Yialamas | Internal Medicine | 70 Francis St, Boston, MA 02115-6134 | 2005-10-25 |
| 1285269688 | Yasaman Zarbafian | Physical Therapist | 70 Francis St, Boston, MA 02115-6134 | 2020-03-05 |
| 1669014122 | Kristina Ramos | Physician Assistant | 70 Francis St, Boston, MA 02115-6134 | 2019-10-16 |
| 1346896461 | Bethany Zettler | Genetic Counselor, MS | 70 Francis St, Boston, MA 02115-6134 | 2019-08-14 |
| 1770146177 | Kelsey Marie Jones | Physician Assistant | 70 Francis St, Boston, MA 02115-6134 | 2019-04-21 |
| 1851871313 | Katherine Marie Slusarz | Physician Assistant | 70 Francis St, Boston, MA 02115-6134 | 2018-08-15 |
| 1255817433 | Alexi Otrakji | Student in an Organized Health Care Education/Training Program | 70 Francis St, Boston, MA 02115-6134 | 2018-07-11 |
| 1174036669 | Laura Ann Sifrig | Physician Assistant | 70 Francis St, Bwh, Cardiac Arrhythmia Service, 5th Floor, Boston, MA 02115 | 2017-11-07 |
| 1407237597 | Xiaowen Wang | Internal Medicine | 70 Francis St, Boston, MA 02115-6134 | 2015-06-15 |
| 1811310535 | Vivian Shaofen Huang | Physical Therapist | 70 Francis St, Boston, MA 02115-6134 | 2014-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124053277 | Charles M Gibson | Internal Medicine | 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 | 2006-07-11 |
| 1659318335 | Samuel J Shubrooks Jr. | Internal Medicine | 1 Deaconess Rd,baker 4, Beth Israel Deaconess Medical Ctr, Boston, MA 02215 | 2006-06-01 |
| 1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
| 1598373946 | Jonathan Gabriel Sung | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-07-21 |
| 1376069039 | Nicola Maschietto | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-08-15 |
| 1861747404 | Alexis Matteau | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2012-07-19 |
| 1689930174 | Brian Patrick Quinn Jr. | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-04-09 |
| 1023271749 | Ryan M Callahan | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2008-07-02 |
| 1023045127 | Diego Porras Ingouville | Internal Medicine | 300 Longwood Ave, Boston, MA 02115 | 2006-06-26 |
| 1851358162 | Jane Anne Leopold | Internal Medicine | 75 Francis Street, Brigham & Womens Hospital, Boston, MA 02115 | 2006-04-28 |
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| 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.