Healthcare Provider Details

I. General information

NPI: 1528035920
Provider Name (Legal Business Name): ARASH DELSHAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 RIVERWAY PL
BEDFORD NH
03110-6745
US

IV. Provider business mailing address

703 RIVERWAY PL
BEDFORD NH
03110-6745
US

V. Phone/Fax

Practice location:
  • Phone: 603-627-1661
  • Fax: 603-627-1661
Mailing address:
  • Phone: 603-627-1661
  • Fax: 603-627-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA71610
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number12979
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberA71610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: