Provider Demographics
NPI:1972650455
Name:SEHIC, ELMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:ELMIR
Middle Name:
Last Name:SEHIC
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:PO BOX 2025
Mailing Address - Street 2:
Mailing Address - City:DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02638-5025
Mailing Address - Country:US
Mailing Address - Phone:508-385-4800
Mailing Address - Fax:508-385-4844
Practice Address - Street 1:501 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02638-2159
Practice Address - Country:US
Practice Address - Phone:508-385-4800
Practice Address - Fax:508-385-4844
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209522207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0145360Medicaid
MAJ23807OtherBLUE CROSS BLUE SHIELD
MAM18134OtherBLUE CROSS BLUE SHIELD
MA6057764001OtherCIGNA
MA691028OtherHARVARD PILGRIM
MA7453275OtherAETNA
MA456034OtherTUFTS
MAA32694Medicare PIN
MAH42940Medicare UPIN