Provider Demographics
NPI:1013598580
Name:ESFAHANI, AZADEHSADAT (MD)
Entity Type:Individual
Prefix:MRS
First Name:AZADEHSADAT
Middle Name:
Last Name:ESFAHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS STREET
Mailing Address - Street 2:CARDIOVASCULAR IMAGING DEPARTMENT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-525-8322
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET, BRINGHAM AND WOMEN'S HOSPITAL
Practice Address - Street 2:CARDIOVASCULAR IMAGING DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-525-8322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2022-04-26
Deactivation Date:2022-03-02
Deactivation Code:
Reactivation Date:2022-04-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program