Shirin Elena Madjzoub, MD, MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

235791 Issued in MA

Practice address

300 Broadway
Somerville, MA 02145

Phone

(734) 272-2479

NPI assigned

May 17, 2007

Last updated

Mar 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1538376728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02145",
            "telephone_number": "734-272-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02145",
            "telephone_number": "734-272-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADJZOUB",
        "first_name": "SHIRIN",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "235791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Norman Mack, PH.D.
• Jeanette Silberstein Maclean, LICSW
• Beth Macrae, LICSW
• Margaret Macswan, MSW
• Kelsey Ann Madden, M.A.
• Mary Magauran, D.C.
• Kelly M Mahoney, PMHNP- BC
• Amir Mohsen Mahoozi, D.M.D
• Danny Mai
• Diane Estelle Maia, RN

• Family Medicine Physician in Somerville, MA
• Providers in Somerville, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.