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Organization
SHAWKI KANAZI MD PC
Active
Organization
SHAWKI KANAZI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWKI G KANAZI MD (PRESIDENT)
(413) 527-7577
Entity
Organization
Contact information
Practice address
132 COTTAGE ST, EASTHAMPTON, MA 01027-1621
(413) 527-7577
(413) 529-0594
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9748822
—
MA
01
—
M15845
BLUE CROSS
MA
Enumeration date
12/15/2005
Last updated
01/04/2010
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