Provider Demographics
NPI:1043415805
Name:ASGHAR RAHAGHI M.D. PC
Entity Type:Organization
Organization Name:ASGHAR RAHAGHI M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASGHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-499-4010
Mailing Address - Street 1:206 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4748
Mailing Address - Country:US
Mailing Address - Phone:413-499-4010
Mailing Address - Fax:413-499-5527
Practice Address - Street 1:206 1ST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4748
Practice Address - Country:US
Practice Address - Phone:413-499-4010
Practice Address - Fax:413-499-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA35061207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM12352OtherBCBS GROUP ID
M12352Medicare PIN
A55945Medicare UPIN