Provider Demographics
NPI:1114988524
Name:SAHIB, SEEMA (MD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:SAHIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:
Practice Address - Street 1:295 VARNUM AVE # GENERAL
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2134
Practice Address - Country:US
Practice Address - Phone:978-937-6439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221435207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0407101OtherEVERCARE
3684871OtherAETNA US HEALTHCARE
3340660OtherCIGNA HEALTH PLAN
J28236OtherBLUE SHIELD INDEMNITY
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
784080OtherMVP HEALTH CARE
AA19863OtherHARVARD PILGRIM HEALTHCAR
042472266OtherTHREE RIVERS
MA2085500Medicaid
75784OtherHEALTHY START
J28236OtherBLUE SHIELD HMO BLUE
J28236OtherBLUE CARE ELECT
2085500OtherWELFARE
467910OtherTUFTS HEALTH PLAN
90540OtherFALLON COMMUNITY HEALTH P
75784OtherCHILDRENS MEDICAL SECURTY
2085500OtherWELFARE
90540OtherFALLON COMMUNITY HEALTH P
75784OtherHEALTHY START