MEDICARE: SHAMSAD BEGUM 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	ME7377870	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DN212A	OTHER	FL	MEDICARE GRP PTAN

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1770716623	OTHER	FL	GROUP NPI
5	650975960	OTHER	FL	TAX ID

General Provider Information

NPI Number	:	1386629673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMSAD BEGUM MD

Provider Business Mailing Address
First Line	:	1195 N MILITARY TRL
Second Line	:	SUITE 2A
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6058
Country	:	US
Telephone Number	:	561-683-4100
Fax Number	:	561-683-4755

Provider Business Practice Location Address
First Line	:	1195 N MILITARY TRL
Second Line	:	SUITE 2A
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6058
Country	:	US
Telephone Number	:	561-683-4100
Fax Number	:	561-683-4755

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	03/07/2023

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Directions to “ SHAMSAD BEGUM MD” Practice Location

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