Healthcare Provider Details

I. General information

NPI: 1427299106
Provider Name (Legal Business Name): SEHA MEDICAL AND WOUND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 WORCESTER ST STE 2
WELLESLEY MA
02482-3709
US

IV. Provider business mailing address

978 WORCESTER ST STE 2
WELLESLEY MA
02482-3709
US

V. Phone/Fax

Practice location:
  • Phone: 781-489-5020
  • Fax: 781-489-5022
Mailing address:
  • Phone: 781-489-5020
  • Fax: 781-489-5022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: IKRAM A FAROOQI
Title or Position: CEO
Credential:
Phone: 781-489-5020