FAKHREDDIN ENTEZARY MD NPI 1336110444

NPI Information

NPI: 1336110444
Provider Name: FAKHREDDIN ENTEZARY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: PRIMA CARE PC

PECOS Registration: Yes

Address:
289 PLEASANT ST.
STE 101
FALL RIVER, MA
ZIP 02721
Phone: (508) 676-3292
Get Directions

Fakhreddin Entezary, MD is a diagnostic radiology radiology in Fall River, MA with 68 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Fakhreddin Entezary, MD NPI is 1336110444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

289 PLEASANT ST.
STE 101
FALL RIVER, MA
ZIP 02721-005
Phone: (508) 676-3292

The NPI 1336110444 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 11/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD04275	RHODE ISLAND	No
2	2085R0202X	Radiology	Diagnostic Radiology	34103	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C89832	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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