MEDICARE: DR. KAMBIZ NEGAHBAN 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	207WX0120X	Cornea and External Diseases Specialist Physician	212310	MA
2	207W00000X	Ophthalmology Physician	212310	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	152683BMC	OTHER	MA	HARVARD PILGRIM HEALTH CA
2	2716088	OTHER	MA	AETNA
3	J24253	OTHER	MA	BCBS
4	212310	OTHER	MA	TUFTS HEALTH PLAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881680544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMBIZ NEGAHBAN MD

Provider Business Mailing Address
First Line	:	75 CAMBRIDGE PKWY
Second Line	:	UNIT E1202
City	:	CAMBRIDGE
State	:	MA
Zip	:	02142-1229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 ROCHE BROTHERS WAY
Second Line	:	SUITE 140
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1000
Country	:	US
Telephone Number	:	508-238-2388
Fax Number	:	508-238-2073

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	11/09/2018

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Directions to “ DR. KAMBIZ NEGAHBAN MD” Practice Location

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