National Provider Identifier Database

AVA BAKHTYARI, MD – NPI #1700413176
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

AVA BAKHTYARI, MD
725 ALBANY STREET, SUITE 7B
SHAPIRO BLDG.
BOSTON, MA02118
Phone: 617-638-8456
Fax: 617-638-8465
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neuromuscular Medicine 2084N0008X

* Indicates primary specialty

NPI Profile & details for AVA BAKHTYARI

NPI Number 1700413176
Credentials MD
Entity Individual
Enumeration date 03/25/2020
Last updated 10/28/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • MA License #: 1018850
  • MA Medicaid: 110166448A
  • NH Medicaid: 3150920
Hospital affiliation n/a

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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