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NPI Code Detail

MEDICARE: DR. MOHIR H HEDESHIAN MD

MEDICARE:  DR. MOHIR H HEDESHIAN  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician205367MA
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician76399CT

General Provider Information

NPI Number : 1871704049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHIR H HEDESHIAN MD
Provider Business Mailing Address
First Line : 5 PARK GROVE LN
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-5051
Country : US
Telephone Number : 508-612-6234
Fax Number :
Provider Business Practice Location Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6077
Country : US
Telephone Number : 203-739-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2007
Last Update Date : 11/17/2023

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