Provider Demographics
NPI:1902065543
Name:HEMATPOUR, KHASHAYAR (MD)
Entity Type:Individual
Prefix:
First Name:KHASHAYAR
Middle Name:
Last Name:HEMATPOUR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:88 EAST NEWTON STREET
Mailing Address - Street 2:BOSTON MEDICAL CENTER CARDIOVASCULAR MEDICINE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-638-8760
Mailing Address - Fax:617-638-8712
Practice Address - Street 1:732 HARRISON AVE
Practice Address - Street 2:PRESTON 3RD FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2309
Practice Address - Country:US
Practice Address - Phone:617-638-7490
Practice Address - Fax:617-638-8712
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2012-06-12
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Provider Licenses
StateLicense IDTaxonomies
TX0032025207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease