Provider Demographics
NPI:1093120636
Name:GHORBANI, ANAHITA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANAHITA
Middle Name:
Last Name:GHORBANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 MAIN ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1889
Mailing Address - Country:US
Mailing Address - Phone:781-952-1597
Mailing Address - Fax:781-340-1610
Practice Address - Street 1:541 MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1889
Practice Address - Country:US
Practice Address - Phone:781-952-1460
Practice Address - Fax:781-340-1610
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA286664207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease