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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for AVA BAKHTYARI · (Female)

NPI Number 1700413176
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2020
Last updated 10/28/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 1018850
  • MA Medicaid 110166448A
  • NH Medicaid 3150920
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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