Provider Demographics
NPI:1376640599
Name:MEHDI PAJOUH, MD
Entity Type:Organization
Organization Name:MEHDI PAJOUH, MD
Other - Org Name:WESTFIELD CARDIOLOGY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAJOUH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-562-8088
Mailing Address - Street 1:48 E SILVER ST
Mailing Address - Street 2:STE 4
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4449
Mailing Address - Country:US
Mailing Address - Phone:413-562-8088
Mailing Address - Fax:
Practice Address - Street 1:48 E SILVER ST
Practice Address - Street 2:STE 4
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-4449
Practice Address - Country:US
Practice Address - Phone:413-562-8088
Practice Address - Fax:413-562-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216726207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9739301Medicaid
MA620919OtherTUFTS HEALTH PLAN
MADC9256OtherRAILROAD MEDICARE
MAM18945OtherBLUE CROSS BLUE SHIELD
MADC9256OtherRAILROAD MEDICARE