Provider Demographics
NPI:1114994019
Name:SAMANT, NINAD N (MD)
Entity Type:Individual
Prefix:
First Name:NINAD
Middle Name:N
Last Name:SAMANT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:WOT 12TH FL
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-871-0700
Mailing Address - Fax:508-616-4411
Practice Address - Street 1:900 UNION ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-5408
Practice Address - Country:US
Practice Address - Phone:508-871-0700
Practice Address - Fax:508-616-4411
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2018-03-09
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Provider Licenses
StateLicense IDTaxonomies
MA77460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
077460OtherTUFTS HEALTH PLAN
4485081OtherAETNA US HEALTHCARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
20129OtherFALLON COMMUNITY HEALTH
788378OtherMVP HEALTH CARE
J13553OtherBLUE CARE ELECT
0503923OtherCIGNA HEALTH PLAN
25656OtherCHILDRENS MEDICAL SECURIT
3108155OtherMEDICAID WELFARE
042472266OtherTRICARE CHAMPUS
MA110052822AMedicaid
25656OtherHEALTHY START
042472266OtherTHREE RIVERS
J13553OtherBLUE SHIELD INDEMNITY
AA33529OtherHARVARD PILGRIM HEALTH
J13553Medicare ID - Type UnspecifiedB
042472266OtherPRIVATE HEALTHCARE SYSTEM
788378OtherMVP HEALTH CARE