MEDICARE: SHAMSAD BEGUM MD PA

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	261QP2300X	Primary Care Clinic/Center	ME7377870	FL

Medicare Identifiers

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

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
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770716623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAMSAD BEGUM MD PA

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	:	561-683-4100

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

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHAMSAD BEGUM
Credential	:	MD
Telephone Number	:	954-676-5382

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	05/01/2013

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Directions to “SHAMSAD BEGUM MD PA ” Practice Location

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