Khashayar Rafatzand, MD, FRCPC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

242608 Issued in MA

Practice address

55 Lake Ave N
S2-824
Worcester, MA 01655-0002

Phone

(514) 880-2788

NPI assigned

Nov 13, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1053648956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "S2-824",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "514-880-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "S2-824",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "514-880-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFATZAND",
        "first_name": "KHASHAYAR",
        "name_prefix": "Dr.",
        "credential": "MD, FRCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "242608",
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MA",
            "license": "242608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Radford
• Shannon Elizabeth Radford, LICSW
• Radiant Steps ABA Inc
• Allisa Radula, LSW A
• Alicia Catherine Radzicki, CRNA
• Samir Rafeq, M.D.
• Zahi Rafeq, M.D.
• Glen D Raffel, M.D./PH.D.
• Eileen Rafferty, NP
• Teresa M Rafferty, LICSW, PH.D.

• General Acute Care Hospital in Worcester, MA
• Providers in Worcester, MA by specialty
• General Acute Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.