Active NPIIndividual providerSole proprietor

Svetlana M Moheydeen, PA

Physician Assistant in Groton, Massachusetts

NPI Number1265778294
Practice location
240 Main St, Groton, MA 01450-1236
Fax
978-318-5756
Last updated
August 13, 2026

Svetlana M Moheydeen is a Physician Assistant based in Groton, MA. Svetlana M Moheydeen practices in Groton, MA and has the professional credentials of PA. The NPI Number for Svetlana M Moheydeen is 1265778294 and holds a License No. PA4496 (MA). The current practice location address for Svetlana M Moheydeen is 240 Main St, Groton, MA 01450-1236 and can be reached out via phone at 978-318-5761 and via fax at 978-318-5756.

Provider Profile Details

NPI Number
1265778294
Provider Name
Svetlana M Moheydeen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
240 Main St, Groton, MA 01450-1236
Phone Number
978-318-5761
Fax Number
978-318-5756
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2012
Last Update Date
August 13, 2026
Certification Date
August 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Main St
Groton, MA 01450-1236
City
Groton
Zip
01450-1236
Phone Number
978-318-5761
Fax Number
978-318-5756
Groton, MA 01450Get directions →

Provider Business Mailing Address Details

Address
24 W Chardon RD
Winchester, MA 01890-3828
City
Winchester
State
MA
Zip
01890-3828
Phone Number
781-454-7483

License Information

License Number
PA4496
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Svetlana M Moheydeen, PA?

The NPI number of Svetlana M Moheydeen, PA is 1265778294. It was assigned on December 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Svetlana M Moheydeen, PA?

Svetlana M Moheydeen, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4496.

Where does Svetlana M Moheydeen, PA practice?

The practice location is 240 Main St, Groton, MA 01450-1236. The office can be reached at 978-318-5761 (phone) or 978-318-5756 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265778294 directly on the NPPES registry website.

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