Provider Demographics
NPI:1447941125
Name:ALLAHVERDIYEV, SHIRIN SR
Entity type:Individual
Prefix:MR
First Name:SHIRIN
Middle Name:
Last Name:ALLAHVERDIYEV
Suffix:SR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:SHIRIN
Other - Middle Name:
Other - Last Name:ALLAHVERDIYEV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SHIRIN
Mailing Address - Street 1:33 DIGITAL DR UNIT 309
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-4583
Mailing Address - Country:US
Mailing Address - Phone:603-966-0743
Mailing Address - Fax:
Practice Address - Street 1:33 DIGITAL DR UNIT 309
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-4583
Practice Address - Country:US
Practice Address - Phone:603-966-0743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)