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1508826991

NPI Code Detail

MEDICARE: BRINDA SANJAY MD

MEDICARE: BRINDA SANJAY 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	159986	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0034991	OTHER		CIGNA HEALTH PLAN
2	784182	OTHER		MVP HEALTH CARE
3	0177351	OTHER		WELFARE
4	042472266	OTHER		ONE HEALTH PLAN
5	54418	OTHER		FALLON COMMUNITY HEALTH P
6	7890078	OTHER		AETNA US HEALTHCARE
7	J25289	OTHER		BLUE CARE ELECT
8	J25289	OTHER		BLUE SHIELD INDEMNITY
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	042472266	OTHER		PRIVATE HEALTHCARE SYSTEM
11	J25289	OTHER		BLUE SHIELD HMO BLUE
12	0404128	OTHER		EVERCARE
13	042472266	OTHER		THREE RIVERS
14	042472266012	OTHER		TRICARE CHAMPUS
15	2015758	OTHER		FIRST HEALTH
16	AA1286	OTHER		HARVARD PILGRIM HEALTHCAR

General Provider Information

NPI Number	:	1508826991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRINDA SANJAY MD

Provider Business Mailing Address
First Line	:	403 BELMONT ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01604-1019
Country	:	US
Telephone Number	:	508-425-2500
Fax Number	:	508-425-2600

Provider Business Practice Location Address
First Line	:	403 BELMONT ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01604-1019
Country	:	US
Telephone Number	:	508-424-2500
Fax Number	:	508-425-2600

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	05/12/2023

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Directions to “ BRINDA SANJAY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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