Healthcare Provider Details

I. General information

NPI: 1447255336
Provider Name (Legal Business Name): ABENDRA B. NAIDOO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 EAST SILVER STREET SUITE 4
WESTFIELD MA
01085
US

IV. Provider business mailing address

218 N PEARMAN AVE
CLEVELAND MS
38732-2634
US

V. Phone/Fax

Practice location:
  • Phone: 413-562-8088
  • Fax: 413-562-8006
Mailing address:
  • Phone: 662-846-1112
  • Fax: 662-846-1170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME99335
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME99335
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number56295
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number56295
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: