SHAFIQ TAJDEN MAMDANI (NPI# 1972566834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972566834 |
| Entity Type | Individual |
| Full Name | SHAFIQ TAJDEN MAMDANI |
| Credential | MD |
| Practice Address |
450 Veterans Memorial Pkwy Building 15 East Providence RI 02914-5300 |
| Practice Telephone | 4012282024 |
| Practice Fax Number | 4012282026 |
| Mailing Telephone | 4012282024 |
| Mailing Fax Number | 4012282026 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD10667 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | SM40959 | 05 |
| Street Address |
450 VETERANS MEMORIAL PKWY BUILDING 15 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516654 | Radiology Associates Inc | Radiology | 450 Veterans Memorial Pkwy, Building 2, East Providence, RI 02914-5300 | 2005-05-27 |
| 1265066492 | Hannah Eizabeth Masse | Dietitian, Registered | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2020-02-26 |
| 1679095608 | Kelly M Pereira | Optometrist | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2017-07-11 |
| 1063865368 | Sarah Dorothy Mosley | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2016-07-21 |
| 1700252988 | Christine Massella | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2015-08-11 |
| 1922486554 | Michelle Woolfrey | Nurse Practitioner | 450 Veterans Memorial Pkwy, Bldg. 6, East Providence, RI 02914-5300 | 2015-05-15 |
| 1992190847 | Margaret Cromwell | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2015-03-30 |
| 1053704908 | Ann Garris | Nurse Practitioner | 450 Veterans Memorial Pkwy, Bldg. 4, East Providence, RI 02914-5300 | 2015-03-16 |
| 1760888234 | Kristen Lakoma | Dietitian, Registered | 450 Veterans Memorial Pkwy, Suite 8c, East Providence, RI 02914-5300 | 2014-11-11 |
| 1689078966 | Sarah Arpino | Dietitian, Registered | 450 Veterans Memorial Pkwy, Suite 8c, East Providence, RI 02914-5300 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972614733 | Gilbert J Altongy | Internal Medicine | 1002 Broad Street, Central Falls, RI 02863 | 2006-08-31 |
| 1285693051 | David L Kitzes | Internal Medicine | 1165 North Main Street, Suite 200, Providence, RI 02904-5740 | 2006-03-21 |
| 1639494339 | Brian J Brown | Internal Medicine | 593 Eddy St, Apc 731, Providence, RI 02903-4923 | 2010-04-06 |
| 1992898977 | Barbara H Roberts | Internal Medicine | 164 Summit Ave, Fain Bldg. Flr# 2, Providence, RI 02906-2853 | 2006-10-02 |
| 1811918394 | George R. Mckendall | Internal Medicine | 2 Dudley St, Suite 360, Providence, RI 02905-3236 | 2006-07-21 |
| 1467447763 | Peter Andrew Soukas | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2005-09-13 |
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on SHAFIQ TAJDEN MAMDANI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.