MEDICARE: DR. ARYA FARAHMAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	157674	MA
2	2084N0400X	Neurology Physician	11622	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3249613-002	OTHER	MA	CIGNA
3	05-00632	OTHER	MA	EVERCARE
4	61107	OTHER	MA	FCHP
5	J23663	OTHER	MA	BCBSMA
6	0024267	OTHER	MA	NHP
7	111248	OTHER	MA	HPHC
8	7360290	OTHER	MA	AETNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	05-00604	OTHER	MA	UHC
11	157674	OTHER	MA	THP

General Provider Information

NPI Number	:	1598751521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARYA FARAHMAND M.D.

Provider Business Mailing Address
First Line	:	10 PROSPECT ST STE 302
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03060-3922
Country	:	US
Telephone Number	:	603-577-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 PROSPECT ST STE 302
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03060-3922
Country	:	US
Telephone Number	:	603-577-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	05/01/2024

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