Active NPIIndividual providerSole proprietor

Agus Simahendra, MD

Internal Medicine in Worcester, Massachusetts

NPI Number1841642220
Practice location
123 Summer St, Worcester, MA 01608-1216
Fax
—
Last updated
July 8, 2016

Agus Simahendra is an Internal Medicine based in Worcester, MA. Agus Simahendra practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Agus Simahendra is 1841642220 and holds a License No. 267615 (MA). The current practice location address for Agus Simahendra is 123 Summer St, Worcester, MA 01608-1216 and can be reached out via phone at 508-363-6208.

Provider Profile Details

NPI Number
1841642220
Provider Name
Agus Simahendra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St, Worcester, MA 01608-1216
Phone Number
508-363-6208
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2016
Last Update Date
July 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St
Worcester, MA 01608-1216
Zip
01608-1216
Phone Number
508-363-6208
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
8 Grafton St Apt 108B
Worcester, MA 01604-4901
City
Worcester
State
MA
Zip
01604-4901
Phone Number
774-578-5493

License Information

License Number
267615
License State
MA
Taxonomy
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 Agus Simahendra, MD?

The NPI number of Agus Simahendra, MD is 1841642220. It was assigned on July 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Agus Simahendra, MD?

Agus Simahendra, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 267615.

Where does Agus Simahendra, MD practice?

The practice location is 123 Summer St, Worcester, MA 01608-1216. The office can be reached at 508-363-6208 (phone).

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 1841642220 directly on the NPPES registry website.

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