Individual
AHMED ELTANBEDAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-6297
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290279
MA
208M00000X
Hospitalist Physician
290279
MA
390200000X
Student in an Organized Health Care Education/Training Program
273399
MA
Other
Enumeration date
03/14/2018
Last updated
01/14/2022
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