MEDICARE: DR. ZAINAB NAWAB M.D.

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	207Q00000X	Family Medicine Physician	223244	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184614646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAINAB NAWAB M.D.

Provider Business Mailing Address
First Line	:	57 E MAIN ST STE 209
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-1445
Country	:	US
Telephone Number	:	508-870-1800
Fax Number	:	508-366-7601

Provider Business Practice Location Address
First Line	:	57 E MAIN ST STE 209
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-1445
Country	:	US
Telephone Number	:	508-870-1800
Fax Number	:	508-366-7601

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	10/02/2012

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