Basic Information
Provider Information
NPI: 1770928376
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAHVI
FirstName: FARZON
MiddleName: A.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 250 PLEASANT ST.
Address2: CONCORD HOSPITAL EMERGENCY MEDICAL ASSOCIATES
City: CONCORD
State: NH
PostalCode: 033017559
CountryCode: US
TelephoneNumber: 6032252711
FaxNumber: 6032246527
Practice Location
Address1: 250 PLEASANT ST.
Address2: CONCORD HOSPITAL EMERGENCY MEDICAL ASSOCIATES
City: CONCORD
State: NH
PostalCode: 033017559
CountryCode: US
TelephoneNumber: 6032252711
FaxNumber: 6032246527
Other Information
ProviderEnumerationDate: 05/08/2013
LastUpdateDate: 09/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X20742NHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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