Provider Demographics
NPI:1982773602
Name:PARHIZGAR, BEHZAD (MD)
Entity Type:Individual
Prefix:DR
First Name:BEHZAD
Middle Name:
Last Name:PARHIZGAR
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 1:195 SOUTH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6831
Mailing Address - Country:US
Mailing Address - Phone:413-443-1439
Mailing Address - Fax:413-443-1164
Practice Address - Street 1:195 SOUTH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6831
Practice Address - Country:US
Practice Address - Phone:413-443-1439
Practice Address - Fax:413-443-1164
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54766207N00000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6194893Medicaid
722372OtherTUFTS HEALTH PLAN
200052069OtherMVP HEALTH CARE
15218OtherHEALTH NEW ENGLAND
2241041OtherAETNA
J04512OtherMASS BLUE SHIELD
646387300OtherCIGNA
4822OtherHARVARD PILGRIM
2241041OtherAETNA
4822OtherHARVARD PILGRIM
A57857Medicare UPIN