Healthcare Provider Details

I. General information

NPI: 1396939864
Provider Name (Legal Business Name): PARVIS J SADIGHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NORTH ST MEDICAL ARTS COMPLEX
PITTSFIELD MA
01201-4147
US

IV. Provider business mailing address

725 NORTH STREET
PITTSFIELD MA
01201-8420
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2745
  • Fax: 413-346-6703
Mailing address:
  • Phone: 413-881-5427
  • Fax: 413-496-6836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number34729
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: