Active NPIIndividual provider

Ahmed Eltanbedawi, MD

Internal Medicine in Springfield, Massachusetts

NPI Number1609379775
Practice location
759 Chestnut St, Springfield, MA 01199-1001
Fax
413-794-1767
Last updated
January 14, 2022

Ahmed Eltanbedawi is an Internal Medicine based in Springfield, MA. Ahmed Eltanbedawi practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Ahmed Eltanbedawi is 1609379775 and holds a License No. 290279 (MA). The current practice location address for Ahmed Eltanbedawi is 759 Chestnut St, Springfield, MA 01199-1001 and can be reached out via phone at 413-794-6297 and via fax at 413-794-1767.

Provider Profile Details

NPI Number
1609379775
Provider Name
Ahmed Eltanbedawi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
759 Chestnut St, Springfield, MA 01199-1001
Phone Number
413-794-6297
Fax Number
413-794-1767
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2018
Last Update Date
January 14, 2022
Certification Date
January 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
759 Chestnut St
Springfield, MA 01199-1001
Zip
01199-1001
Phone Number
413-794-6297
Fax Number
413-794-1767
Springfield, MA 01199Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number (1)
290279
License State (1)
MA
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
273399
License State (2)
MA
License Number (3)
290279
License State (3)
MA
Taxonomy (3)
Internal Medicine · 207R00000X · 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 Ahmed Eltanbedawi, MD?

The NPI number of Ahmed Eltanbedawi, MD is 1609379775. It was assigned on March 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Ahmed Eltanbedawi, MD?

Ahmed Eltanbedawi, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 290279.

Where does Ahmed Eltanbedawi, MD practice?

The practice location is 759 Chestnut St, Springfield, MA 01199-1001. The office can be reached at 413-794-6297 (phone) or 413-794-1767 (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 1609379775 directly on the NPPES registry website.

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