NPI 1144376831 · live from the CMS NPI Registry
Pegah Afra, M.D.
Psychiatry & Neurology, Neurology in Worcester, MA. National Provider Identifier 1144376831, active.
NPI record
| NPI | 1144376831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 55 Lake Ave N, Worcester, MA 01655 |
| Practice phone | 508-334-2527 |
| Mailing address | Po Box 415348, Boston, MA 02241 |
| Enumerated | January 26, 2007 |
| Last updated | November 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 6755983-1205 (UT) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 291151-01 (NY) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 295425 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.