DR. MASOUD A. MARJANI MD NPI 1629029871

NPI Information

NPI: 1629029871
Provider Name: DR. MASOUD A. MARJANI, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
134 GRANDVIEW AVE
SUITE 204
WATERBURY, CT
ZIP 06708
Phone: (203) 756-9288
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DR. Masoud A. Marjani, MD is a specialist in Waterbury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Masoud A. Marjani, MD NPI is 1629029871. 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:

134 GRANDVIEW AVE
SUITE 204
WATERBURY, CT
ZIP 06708-507
Phone: (203) 756-9288
Fax: (203) 573-7270

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/8/2007.

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	174400000X	Specialist		014770	CONNECTICUT	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	014770	OTHER	CONNECTICUT	CONNECTICARE
2	D33573	MEDICARE UPIN	CONNECTICUT
3	010014770CT02	OTHER	CONNECTICUT	ANTHEM
4	OR094S	OTHER		HEALTHNET
5	NHS012	OTHER		OXFORD

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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