Shifa Comprehensive Health Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

73452 Issued in MA

Legal business name

SHIFA COMPREHENSIVE HEALTH CENTER

Practice address

185 West Ave
Ludlow, MA 01056-1700

Phone

(413) 244-6947

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shaukat Matin, M.D.

Title

Owner

Phone

(413) 244-6947

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1902276363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WEST AVE",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561700",
            "telephone_number": "413-244-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WEST AVE",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561700",
            "telephone_number": "413-244-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA COMPREHENSIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MATIN",
        "authorized_official_first_name": "SHAUKAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-244-6947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "73452",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Dorothea Shea
• Cathy Shea
• Kathleen Shea
• Alexandra Hope Sherwood, MA, LPCA
• Shifa Comprehensive Health Center
• Arianna Silva
• Simply Orthodontics of Ludlow PLLC
• Matthew Slepecki
• Kimberly Rita Smith, FNP
• Darlene A Soja, PA-C

• Internal Medicine Physician in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.