Organization
SHAMSAD BEGUM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMSAD BEGUM MD (OWNER)
(954) 676-5382
Entity
Organization
Contact information
Practice address
1195 N MILITARY TRL, WEST PALM BEACH, FL 33409-6058
(561) 683-4100
(561) 683-4100
Mailing address
1195 N MILITARY TRL, SUITE 2A, WEST PALM BEACH, FL 33409-6058
(561) 683-4100
(561) 683-4100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME7377870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006570100
GRP MEDICAID ID
FL
05
—
257951100
—
FL
01
—
DN212A
MEDICARE GRP PTAN
FL
Enumeration date
08/26/2009
Last updated
05/01/2013
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