Provider Demographics
NPI:1922045822
Name:SEMAH, EPHRAIM (MD)
Entity Type:Individual
Prefix:
First Name:EPHRAIM
Middle Name:
Last Name:SEMAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6232
Mailing Address - Country:US
Mailing Address - Phone:508-992-6553
Mailing Address - Fax:508-990-7558
Practice Address - Street 1:874 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-6553
Practice Address - Fax:508-990-7558
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49577207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA005289OtherSENIOR WHOLE HEALTH
MA6184898Medicaid
MA692913OtherHARVARD PILGRIM
MAB21149301OtherCIGNA
MA0013732OtherNEIGHBORHOOD HEALTH PLAN
MA20839-2OtherBCBSRI
MA000000024003OtherBMC HEALTHNET
MA36687OtherCHILDREN'S MEDICAL SEC
MA6118635-005OtherCIGNA PAL
MA2998646OtherAETNA
MA411446OtherBCBSRIBLUECHIP
MA96408001OtherNETWORK HEALTH
MAJ03697OtherBCBSMA
MA049577OtherTUFTS
MA2998646OtherAETNA
MAJ03697OtherBCBSMA