Provider Demographics
NPI:1750415543
Name:AHMED BASHEER, M.D.,P.C.
Entity type:Organization
Organization Name:AHMED BASHEER, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-543-3633
Mailing Address - Street 1:56 LEONARD ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2939
Mailing Address - Country:US
Mailing Address - Phone:508-543-3633
Mailing Address - Fax:508-543-1154
Practice Address - Street 1:56 LEONARD ST
Practice Address - Street 2:SUITE 7
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2939
Practice Address - Country:US
Practice Address - Phone:508-543-3633
Practice Address - Fax:508-543-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79474207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4524701OtherAETNA
MAB10159701OtherCIGNA
MA64555OtherPILGRIM
MA04-02911OtherUNITED HEALTH
MA0003139OtherNEIGHBORHOOD HEALTH
MA079474OtherTUFTS HEALTH PLAN
MA3128733Medicaid
MAJ14837OtherBLUE CROSS BLUE SHIELD
MA0003139OtherNEIGHBORHOOD HEALTH
MA04-02911OtherUNITED HEALTH