| Shamsad Begum Md Pa | |
|
1195 N Military Trl West Palm Beach FL 33409-6058 | |
| (561) 683-4100 | |
| (561) 683-4100 |
| Full Name | Shamsad Begum Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1195 N Military Trl, West Palm Beach, Florida |
| Authorized Official Name and Position | Shamsad Begum (OWNER) |
| Authorized Official Contact | 9546765382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamsad Begum Md Pa 1195 N Military Trl Suite 2a West Palm Beach FL 33409-6058 Ph: (561) 683-4100 | Shamsad Begum Md Pa 1195 N Military Trl West Palm Beach FL 33409-6058 Ph: (561) 683-4100 |
| NPI Number | 1770716623 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 05/01/2013 |
| Medicare PECOS PAC ID | 1355467705 |
|---|---|
| Medicare Enrollment ID | O20100923000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770716623 | NPI | - | NPPES |
| 006570100 | Other | FL | GRP MEDICAID ID |
| DN212A | Other | FL | MEDICARE GRP PTAN |
| 257951100 | Medicaid | FL | |
| DN212A | Other | FL | MEDICARE GRP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME7377870 (Florida) | Primary |
| Provider Name | Shamsad Begum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386629673 PECOS PAC ID: 3971629338 Enrollment ID: I20101108000431 |
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