| Shifa Comprehensive Health Center | |
|
185 West Ave Ludlow MA 01056-1700 | |
| (413) 244-6947 | |
| Not Available |
| Full Name | Shifa Comprehensive Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 185 West Ave, Ludlow, Massachusetts |
| Authorized Official Name and Position | Shaukat Matin (OWNER) |
| Authorized Official Contact | 4132446947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifa Comprehensive Health Center 185 West Ave Ludlow MA 01056-1700 Ph: (413) 244-6947 | Shifa Comprehensive Health Center 185 West Ave Ludlow MA 01056-1700 Ph: (413) 244-6947 |
| NPI Number | 1902276363 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 11/20/2015 |
| Medicare PECOS PAC ID | 4789985276 |
|---|---|
| Medicare Enrollment ID | O20151229002093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902276363 | NPI | - | NPPES |
| 73452 | Other | MA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 73452 (Massachusetts) | Primary |
| Provider Name | Shaukat Matin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295792943 PECOS PAC ID: 6002705241 Enrollment ID: I20050120000720 |
| Provider Name | Suzanne Hangasky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730165010 PECOS PAC ID: 7517981962 Enrollment ID: I20060124000824 |
| Provider Name | Anna Kosciolek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518563055 PECOS PAC ID: 5496169724 Enrollment ID: I20210128001139 |
Shifa Comprehensive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 West Ave, Suite 204, Ludlow, MA 01056 Phone: 413-610-2201 | |
Dr. Gino Mercadante, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Center St, Ludlow, MA 01056 Phone: 413-589-7176 Fax: 413-589-7710 | |
Consolidated Singh Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 West Ave Ste 204, Ludlow, MA 01056 Phone: 413-610-2201 Fax: 413-610-2201 | |
Convenientmd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Center St, Ludlow, MA 01056 Phone: 413-625-3500 | |
Swenson Healthcare Of Ma, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 State St, Ludlow, MA 01056 Phone: 253-300-8453 |