MEDICARE: SHEEL SAXENA 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	221768	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0033964	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
2	7829699	OTHER	MA	CIGNA
3	J28117	OTHER	MA	BLUE CROSS
4	000000028896	OTHER	MA	BMC HEALTHNET
5	467561	OTHER	MA	TUFTS HEALTH PLAN
6	AA18472	OTHER	MA	HARVARD PILGRIM
7	467561	OTHER	MA	SECURE HORIZONS

General Provider Information

NPI Number	:	1629041462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEEL SAXENA MD

Provider Business Mailing Address
First Line	:	409 W BROADWAY
Second Line	:
City	:	SOUTH BOSTON
State	:	MA
Zip	:	02127-2245
Country	:	US
Telephone Number	:	617-269-7500
Fax Number	:	617-464-7512

Provider Business Practice Location Address
First Line	:	409 W BROADWAY
Second Line	:
City	:	SOUTH BOSTON
State	:	MA
Zip	:	02127-2245
Country	:	US
Telephone Number	:	617-269-7500
Fax Number	:	617-464-7512

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	12/15/2011

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Directions to “ SHEEL SAXENA MD” Practice Location

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