Active NPIIndividual providerSole proprietor

Nizam U Din

Internal Medicine in Southbridge, Massachusetts

NPI Number1861659625
Practice location
100 South St, Southbridge, MA 01550-4051
Fax
508-909-7735
Last updated
May 1, 2023

Nizam Ud Din is an Internal Medicine based in Southbridge, MA. Nizam Ud Din practices in Southbridge, MA. The NPI Number for Nizam Ud Din is 1861659625 and holds a License No. 238494 (MA). The current practice location address for Nizam Ud Din is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-765-9771 and via fax at 508-909-7735.

Provider Profile Details

NPI Number
1861659625
Provider Name
Nizam Ud Din
Provider Entity Type
Individual
Gender
Male
Address
100 South St, Southbridge, MA 01550-4051
Phone Number
508-765-9771
Fax Number
508-909-7735
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2008
Last Update Date
May 1, 2023
Certification Date
May 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 South St
Southbridge, MA 01550-4051
Zip
01550-4051
Phone Number
508-765-9771
Fax Number
508-909-7735
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
100 South St
Southbridge, MA 01550-4051
City
Southbridge
State
MA
Zip
01550-4051
Phone Number
508-765-9771
Fax Number
508-909-7735

License Information

License Number (1)
238494
License State (1)
MA
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
0101266349
License State (2)
VA
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
0101266349
License State (3)
VA
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 Nizam U Din?

The NPI number of Nizam U Din is 1861659625. It was assigned on May 20, 2008 and is currently active in the NPPES registry.

What is the specialty of Nizam U Din?

Nizam U Din is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 238494.

Where does Nizam U Din practice?

The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-765-9771 (phone) or 508-909-7735 (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 1861659625 directly on the NPPES registry website.

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