Shahabuddin, Mohammad
Shahabuddin, Mohammad is an individual health care provider with primary practice located at 2100 Dorchester Ave , Dorchester Center MA 02124-5615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shahabuddin, Mohammad can be contacted via phone (617) 296-4000.Contact Information
Primary practice address
2100 Dorchester Ave
Dorchester Center MA 02124-5615
Phone: (617) 296-4000
Fax: (617) 474-3820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35707 | Massachusetts |
Profile Details
| NPI number | 1063493211 |
|---|---|
| LBN Legal business name | Shahabuddin, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063493211 | NPPES |
| Massachusetts | MEDICAID | 2050196 |
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