Begum, Shamim A

Begum, Shamim A is an individual health care provider with primary practice located at 45 Mall Drive Suite 1Liddso Of Ny State,, Commack NY 11725-5700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Begum, Shamim A can be contacted via phone (631) 547-1761.

Contact Information

Primary practice address
45 Mall Drive Suite 1Liddso Of Ny State, Commack NY 11725-5700
Fax: (631) 424-5765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 236966 New York

Profile Details

NPI number 1659431039
LBN Legal business name Begum, Shamim A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Nov 29th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659431039 NPPES
New York MEDICAID 02007954

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