Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Koorosh Haghayeghi, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1770012072

Dr. Koorosh Haghayeghi, MD is a Pathology in Providence, Rhode Island. Qualified in 2017, 9 years ago. Practices with Adult and Pediatric Dermatology PC, a 38-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
9
Licensed in
RI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence LP04035 (RI)

Record details

NPI number1770012072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESJune 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Adult And Pediatric Dermatology Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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