Innovative Physician Services Llc
LBN: Innovative Physician Services Llc
Innovative Physician Services Llc is an health care organization with primary practice located at 490 Page Boulevard , Springfield MA 01104. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Innovative Physician Services Llc can be contacted via phone (413) 349-5063, or through Dahdul, Adnan M via phone (413) 301-6019.
Contact Information
Primary practice address
490 Page Boulevard
Springfield MA 01104
Phone: (413) 349-5063
Fax: (413) 363-2857
Website:
Health care specialties
Profile Details
| NPI number | 1922096049 |
|---|---|
| LBN Legal business name | Innovative Physician Services Llc |
| DBA Doing business as | |
| Authorized official | Dahdul, Adnan M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Aug 6th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922096049 | NPPES |
| Massachusetts | MEDICAID | 9721690 | |
| Massachusetts | MEDICAID | 110068493C | |
| Massachusetts | MEDICAID | 118236600 | |
| Massachusetts | Other | M18224 | |
| Massachusetts | MEDICAID | 30214102 | |
| Massachusetts | Other | 4D55 |
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