Provider Demographics
NPI:1720060098
Name:NAJEEBI, SHAMIM A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAMIM
Middle Name:A
Last Name:NAJEEBI
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 1:354 BIRNIE AVE
Mailing Address - Street 2:HAMPDEN COUNTY PHYSICIAN ASSOCIATES
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1108
Mailing Address - Country:US
Mailing Address - Phone:413-733-3470
Mailing Address - Fax:413-733-5235
Practice Address - Street 1:77 BOYLSTON ST
Practice Address - Street 2:HAMPDEN COUNTY PHYSICIAN ASSOCIATES
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3323
Practice Address - Country:US
Practice Address - Phone:413-734-8254
Practice Address - Fax:413-747-8545
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA153375207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003117521Medicaid
MA3173666Medicaid
NY02690206Medicaid
A23191Medicare ID - Type Unspecified
NY02690206Medicaid
110183542Medicare PIN