Active NPIIndividual provider

Srijesa Khasnabish, DO

Family Medicine in Beverly, Massachusetts

NPI Number1669176384
Practice location
30 Tozer RD Ste 202, Beverly, MA 01915-5514
Fax
978-927-4598
Last updated
September 18, 2026

Srijesa Khasnabish is a Family Medicine based in Beverly, MA. Srijesa Khasnabish practices in Beverly, MA and has the professional credentials of DO. The NPI Number for Srijesa Khasnabish is 1669176384 and holds a License No. 1025352 (MA). The current practice location address for Srijesa Khasnabish is 30 Tozer RD Ste 202, Beverly, MA 01915-5514 and can be reached out via phone at 978-927-7727 and via fax at 978-927-4598.

Provider Profile Details

NPI Number
1669176384
Provider Name
Srijesa Khasnabish
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
30 Tozer RD Ste 202, Beverly, MA 01915-5514
Phone Number
978-927-7727
Fax Number
978-927-4598
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2023
Last Update Date
September 18, 2026
Certification Date
September 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Tozer RD Ste 202
Beverly, MA 01915-5514
Zip
01915-5514
Phone Number
978-927-7727
Fax Number
978-927-4598
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
Po Box 24532
New York, NY 10087-4532
City
New York
State
NY
Zip
10087-4532
Phone Number
781-774-8771

License Information

License Number (1)
1025352
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X · 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 Srijesa Khasnabish, DO?

The NPI number of Srijesa Khasnabish, DO is 1669176384. It was assigned on March 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Srijesa Khasnabish, DO?

Srijesa Khasnabish, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 1025352.

Where does Srijesa Khasnabish, DO practice?

The practice location is 30 Tozer RD Ste 202, Beverly, MA 01915-5514. The office can be reached at 978-927-7727 (phone) or 978-927-4598 (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 1669176384 directly on the NPPES registry website.

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