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Individual
SHAHAB MOHIUDDIN
Active
Individual
SHAHAB MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203283
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010585
—
MA
01
—
203283
TUFTS HEALTH PLAN
MA
01
—
697799
HARVARD PILGRIM
MA
01
—
J26211
BCBSMA
MA
Enumeration date
02/21/2006
Last updated
01/05/2016
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