Shaza Ben Khadra, MD
Pathology, Anatomic Pathology & Clinical Pathology in Springfield, Massachusetts
1477176444- Practice location
- 759 Chestnut Street, D1170, Springfield, MA 01107-1619
- Phone
- 413-794-4550
- Fax
- 413-794-3195
- Last updated
- November 20, 2024
Shaza Ben Khadra is a Pathology, Anatomic Pathology & Clinical Pathology based in Springfield, MA. Shaza Ben Khadra practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Shaza Ben Khadra is 1477176444 and holds a License No. LP04980 (RI). The current practice location address for Shaza Ben Khadra is 759 Chestnut Street, D1170, Springfield, MA 01107-1619 and can be reached out via phone at 413-794-4550 and via fax at 413-794-3195.
Provider Profile Details
- NPI Number
- 1477176444
- Provider Name
- Shaza Ben Khadra
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 759 Chestnut Street, D1170, Springfield, MA 01107-1619
- Phone Number
- 413-794-4550
- Fax Number
- 413-794-3195
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 25, 2020
- Last Update Date
- November 20, 2024
- Certification Date
- November 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 759 Chestnut Street
D1170
Springfield, MA 01107-1619 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1619
- Phone Number
- 413-794-4550
- Fax Number
- 413-794-3195
Provider Business Mailing Address Details
- Address
- 280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001 - City
- Springfield
- State
- MA
- Zip
- 01199-1001
- Phone Number
- 413-794-3909
- Fax Number
- 413-794-1629
License Information
- License Number (1)
- LP04980
- License State (1)
- RI
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- 1021492
- License State (2)
- MA
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shaza Ben Khadra, MD?
The NPI number of Shaza Ben Khadra, MD is 1477176444. It was assigned on May 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Shaza Ben Khadra, MD?
Shaza Ben Khadra, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in RI under license number LP04980.
Where does Shaza Ben Khadra, MD practice?
The practice location is 759 Chestnut Street, D1170, Springfield, MA 01107-1619. The office can be reached at 413-794-4550 (phone) or 413-794-3195 (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 1477176444 directly on the NPPES registry website.