Abdul-Wadud, Bashir

Abdul-Wadud, Bashir is an individual health care provider with primary practice located at 65 Cooper St Innovative Physician Services, Llc, Agawam MA 01001-2149. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Abdul-Wadud, Bashir can be contacted via phone (413) 786-8000.

Contact Information

Primary practice address
65 Cooper St Innovative Physician Services, Llc Agawam MA 01001-2149
Phone: (413) 786-8000
Fax: (413) 786-9788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1876 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA057997 Pennsylvania

Profile Details

NPI number 1871510883
LBN Legal business name Abdul-Wadud, Bashir
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 11th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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