Individual provider Active NPI

Shamim A Dahod, M.D.

  • Internal Medicine Physician
  • Chelmsford, MA
National Provider Identifier
1710971379
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72573 Issued in MA
Practice address
2 Meeting House Rd
Chelmsford, MA 01824-2700
Phone
(978) 256-5522
Fax
(978) 256-5399
NPI assigned
Sep 9, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 72573 MA Primary

Addresses

Primary practice location

2 Meeting House Rd
Chelmsford, MA 01824-2700

Mailing address

2 Meeting House Rd
Chelmsford, MA 01824-2700
Phone (978) 256-5522

Other identifiers 2

IdentifierTypeStateIssuer
3068129MedicaidMA
110220975OtherMAMEDICARE RR NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1710971379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEETING HOUSE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242700",
            "telephone_number": "978-256-5522",
            "fax_number": "978-256-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEETING HOUSE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242700",
            "telephone_number": "978-256-5522",
            "fax_number": "978-256-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHOD",
        "first_name": "SHAMIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068129",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR NUMBER",
            "identifier": "110220975",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.