Provider Demographics
NPI:1225210305
Name:ELMIR SEHIC, M.D. P.C
Entity Type:Organization
Organization Name:ELMIR SEHIC, M.D. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ELMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-375-9895
Mailing Address - Street 1:923 MAIN ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-2159
Mailing Address - Country:US
Mailing Address - Phone:508-375-9895
Mailing Address - Fax:508-375-9896
Practice Address - Street 1:923 MAIN ST UNIT 5
Practice Address - Street 2:
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-2159
Practice Address - Country:US
Practice Address - Phone:508-375-9895
Practice Address - Fax:508-375-9896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209522207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18134OtherBLUE CROSS BLUE SHIELD