Provider Demographics
NPI:1245404763
Name:SHAMIM A NAJEEBI,M.D.,P.C.
Entity Type:Organization
Organization Name:SHAMIM A NAJEEBI,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAMIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAJEEBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-734-7758
Mailing Address - Street 1:300 STAFFORD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3581
Mailing Address - Country:US
Mailing Address - Phone:413-734-7758
Mailing Address - Fax:413-734-4007
Practice Address - Street 1:271 CAREW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:413-731-5968
Practice Address - Fax:413-734-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153375207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAG52384Medicare UPIN
MAA23191Medicare PIN