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Contact Information

LILY N PAYVANDI, MD
11 MELNEA CASS BLVD
BOSTON, MA02119-4401
 Phone: 617-414-2080
 Fax: 617-414-2090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Preventive Medicine

2083C0008X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for LILY N PAYVANDI · (Female)

NPI Number 1457889263
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2017
Last updated 06/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 283291
  • PA License # MT213357
  • MA Medicaid 110163303A
  • NH Medicaid 3138552
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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