NPI 1700413176 · live from the CMS NPI Registry
Ava Bakhtyari, MD
Psychiatry & Neurology, Neurology in Boston, MA. National Provider Identifier 1700413176, active.
NPI record
| NPI | 1700413176 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 725 Albany Street, Suite 7b, Shapiro Bldg., Boston, MA 02118 |
| Practice phone | 617-638-8456 |
| Mailing address | 960 Massachusetts Avenue, Fl 2, Boston, MA 02118 |
| Enumerated | March 25, 2020 |
| Last updated | October 28, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1018850 (MA) |
| Psychiatry & Neurology, Neuromuscular Medicine | 2084N0008X | 1018850 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.