Mamdani, Shafiq Tajden

Mamdani, Shafiq Tajden is an individual health care provider with primary practice located at 450 Veterans Memorial Pkwy Building 15, East Providence RI 02914-5300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Mamdani, Shafiq Tajden can be contacted via phone (401) 228-2024.

Contact Information

Primary practice address
450 Veterans Memorial Pkwy Building 15 East Providence RI 02914-5300
Phone: (401) 228-2024
Fax: (401) 228-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD10667 Rhode Island

Profile Details

NPI number 1972566834
LBN Legal business name Mamdani, Shafiq Tajden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Dec 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972566834 NPPES
Rhode Island MEDICAID SM40959

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