Provider Demographics
NPI:1598751521
Name:FARAHMAND, ARYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARYA
Middle Name:
Last Name:FARAHMAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1754
Mailing Address - Country:US
Mailing Address - Phone:978-687-2321
Mailing Address - Fax:978-722-7287
Practice Address - Street 1:10 GEORGE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-2293
Practice Address - Country:US
Practice Address - Phone:978-687-2321
Practice Address - Fax:978-722-7287
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1576742084N0400X
NH116222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7360290OtherAETNA
MAJ23663OtherBCBSMA
MA0130915Medicaid
MA111248OtherHPHC
MA61107OtherFCHP
MA3249613-002OtherCIGNA
MA05-00604OtherUHC
MA0024267OtherNHP
MA05-00632OtherEVERCARE
NH30203371Medicaid
MA157674OtherTHP
MAJ23663OtherBCBSMA
MAA32302Medicare ID - Type UnspecifiedMEDICARE