Individual
MASHRAFI AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 MEDICAL CENTER DR STE 410, SPRINGFIELD, MA 01107
(413) 781-5735
(413) 732-0225
Mailing address
2 MEDICAL CENTER DR STE 410, SPRINGFIELD, MA 01107-1273
(413) 748-7076
(413) 732-0225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.055623
IL
207R00000X
Internal Medicine Physician
P2411
TX
207RC0000X
Cardiovascular Disease Physician
Primary
266166
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10558365
—
NM
05
—
200433410 A
—
OK
05
—
300256001
—
TX
05
—
300256002
—
TX
01
—
XOH838266751
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/29/2010
Last updated
08/04/2020
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