MR. REZA YAVARI M.D. NPI 1053477703

NPI Information

  • NPI: 1053477703
  • Provider Name: MR. REZA YAVARI, M.D.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1008 MAIN ST
    BRANFORD, CT
    ZIP 06405
  • Phone: (203) 315-2936

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NPI Details

MR. Reza Yavari, M.D. is an endocrinology and diabetes and metabolism internal medicine in Branford, CT. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MR. Reza Yavari, M.D. NPI is 1053477703. 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:

1008 MAIN ST
BRANFORD, CT
ZIP 06405-773
Phone: (203) 315-2936
Fax: (203) 315-2940

The NPI 1053477703 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 12/28/2006 and was last updated on 9/23/2013.

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
1174400000XSpecialist032568CONNECTICUTNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism032568CONNECTICUTYes

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
1F49203MEDICARE UPINCONNECTICUT

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: 3/30/2025

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