MEDICARE: DR. AHMED BASHEER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	79474	MA

General Provider Information

NPI Number	:	1467416958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMED BASHEER MD

Provider Business Mailing Address
First Line	:	31 PINE STREET
Second Line	:	SUITE 300
City	:	NORFOLK
State	:	MA
Zip	:	02056
Country	:	US
Telephone Number	:	508-623-3700
Fax Number	:	508-623-3711

Provider Business Practice Location Address
First Line	:	31 PINE STREET
Second Line	:	SUITE 300
City	:	NORFOLK
State	:	MA
Zip	:	02056
Country	:	US
Telephone Number	:	508-623-3700
Fax Number	:	508-623-3701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	01/05/2017

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