Shahram Moghaddam, DMD - Dentist in Somerville, MA

Shahram Moghaddam, DMD is a Dentist - General Practice based in Somerville, Massachusetts. Shahram Moghaddam is licensed to practice in Massachusetts (license number 18767) and his current practice location is 396 Highland Ave, Somerville, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 776-2323.

NPI number for Shahram Moghaddam is 1013048214 and his current mailing address is 396 Highland Ave, Somerville, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013048214.

Contact Information

Shahram Moghaddam, DMD
396 Highland Ave,
Somerville, MA 02144-2512
(617) 776-2323
Not Available



Healthcare Provider's Profile

Full NameShahram Moghaddam
GenderMale
SpecialityDentist - General Practice
Location396 Highland Ave, Somerville, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013048214
  • Provider Enumeration Date: 03/08/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Shahram Moghaddam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013048214NPI-NPPES
0280925MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 18767 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shahram Moghaddam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shahram Moghaddam, DMD
396 Highland Ave,
Somerville, MA 02144-2512

Ph: (617) 776-2323
Shahram Moghaddam, DMD
396 Highland Ave,
Somerville, MA 02144-2512

Ph: (617) 776-2323

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Dentist in Somerville, MA

Yousef Sidki, DMD
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Priyadarshini Raju,
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Phone: 617-623-4500    

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