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Individual

MR. MOHAMAD AMJAD BAHNASSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
BEHAVIORAL HEALTHCARE SERVICES, 435 SHREWSBURY STREET, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-7245
Mailing address
435 SHREWSBURY STREET, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-7245

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
59555
MA
2084P0800X
Psychiatry Physician
Primary
59555
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110045495A
MA
01
220864
HARVARD PILGRIM
01
260028312
RAILROAD MEDICARE
01
280650
HEALTHSOURCE CMHC
05
3032639
MA
01
719978
TUFTS HEALTH PLAN
01
984940
NETWORK HEALTH
01
J07208
BCBS OF MASSACHUSETTS
MA
Enumeration date
09/24/2006
Last updated
06/16/2025
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