Individual
DR. NADEZHDA SHAGUMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2829 OCEAN PKWY, BROOKLYN, NY 11235-7858
(718) 616-0050
(718) 616-0065
Mailing address
2829 OCEAN PARKWAY, 2ND FLOOR, BROOKLYN, NY 11235
(718) 616-0050
(718) 616-0065
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
207429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001956778004
UNITEDHEATHCARE
NY
05
—
01925846
—
NY
01
—
1000015266
AFFINITY
NY
01
—
1700138
GHI
NY
01
—
1839765
FIRST HEALTH
NY
01
—
207429
HEALTH FIRST
NY
01
—
2355619
AETNA HMO (INTERNAL MED)
NY
01
—
2359536
AETNA HMO (RHEUMATOLOGY)
NY
01
—
318150501
HEALTH PLUS (RHEUMATOLOGY
NY
01
—
318180301
HEALTH PLUS (INTERNAL MED
NY
01
—
56N491
BC/BS
NY
01
—
7683488002
CIGNA (RHEUMATOLOGY)
NY
01
—
7683488004
CIGNA (INTERNAL MED)
NY
01
—
7880054
AETNA PPO
NY
01
—
P2040069
OXFORD
NY
Enumeration date
03/09/2006
Last updated
03/29/2021
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