MEDICARE: AMIR SOHEIL TOLEBEYAN MD

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	208VP0000X	Pain Medicine Physician	73646	WI
2	390200000X	Student in an Organized Health Care Education/Training Program	R4357	NH
3	208M00000X	Hospitalist Physician	64403	CT
4	207R00000X	Internal Medicine Physician	73646	WI
5	207R00000X	Internal Medicine Physician	2016020259	MO
6	390200000X	Student in an Organized Health Care Education/Training Program
7	207R00000X	Internal Medicine Physician	290838	MA
8	208VP0014X	Interventional Pain Medicine Physician	342078	NY

General Provider Information

NPI Number	:	1053762682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR SOHEIL TOLEBEYAN MD

Provider Business Mailing Address
First Line	:	10 UNION ST STE 2D
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-4759
Country	:	US
Telephone Number	:	314-449-5866
Fax Number	:	978-953-5646

Provider Business Practice Location Address
First Line	:	10 UNION ST STE 2D
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-4759
Country	:	US
Telephone Number	:	314-449-5866
Fax Number	:	978-953-5646

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

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	06/17/2026

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Directions to “ AMIR SOHEIL TOLEBEYAN MD” Practice Location

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