Provider Demographics
NPI:1255390571
Name:PAJOUH, MEHDI (MD)
Entity type:Individual
Prefix:DR
First Name:MEHDI
Middle Name:
Last Name:PAJOUH
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 1:48 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:413-562-8006
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
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216726207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000026023OtherHEALTHNET
MAP00198662OtherRAILROAD MEDICARE
MA2008505Medicaid
MA97318401OtherNETWORK HEALTH
MA216726OtherCONNECTICARE
MA304799OtherHARVARD PILGRIM
MA80314OtherUNICARE
MA1928665OtherCIGNA MASSACHUSETTS
MA25 03401OtherUNITEDHEALTHCARE
MA32745OtherHEALTH NEW ENGLAND
MA216726OtherTUFTS
MAJ26223OtherBLUE CROSS
MA000000026023OtherHEALTHNET
MA1928665OtherCIGNA MASSACHUSETTS