Individual provider · Type 1 NPI

Bardia Khosravi, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1285474114 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Other practice locations

  • 736 Cambridge St, Brighton, MA 02135-2907 · (617) 789-3000

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X3016105 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285474114

Bardia Khosravi, MD's National Provider Identifier is 1285474114, issued on May 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on May 13, 2025.