1396356572 NPI number — DR. MUSTAFA AHMED BARBHUIYA PHD, NRCC-CC

Table of content: DR. MUSTAFA AHMED BARBHUIYA PHD, NRCC-CC (NPI 1396356572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396356572 NPI number — DR. MUSTAFA AHMED BARBHUIYA PHD, NRCC-CC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARBHUIYA
Provider First Name:
MUSTAFA
Provider Middle Name:
AHMED
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, NRCC-CC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396356572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
759 CHESTNUT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01199-2812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-794-4512
Provider Business Mailing Address Fax Number:
413-794-3195

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
759 CHESTNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01199-2360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-794-4512
Provider Business Practice Location Address Fax Number:
413-794-3195
Provider Enumeration Date:
08/12/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 247ZC0005X , with the licence number:  BARBM3ENDO , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 247ZC0005X , with the licence number: BARBM3TSMQ , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 247ZC0005X , with the licence number: BARBM3VIRO , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 247ZC0005X , with the licence number: BARBM3CLTO , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 247ZC0005X , with the licence number: BARBM3BLLE , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 247ZC0005X , with the licence number: BARBM3BPAG , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 247ZC0005X , with the licence number: 4759 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: BARBM3TSMQ . This is a "CLIA LAB DIRECTOR THER. SUB. MON./QUANT. TOX." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: BARBM3BLLE . This is a "CLIA LAB DIRECTOR BLOOD LEAD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4759 . This is a "NATIONAL REGISTRY OF CERTIFIED CHEMISTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: BARBM3VIRO . This is a "CLIA LAB DIRECTOR VIROLOGY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 266809 . This is a "AMERICAN SOCIETY OF CLINICAL PATHOLOGY" identifier . This identifiers is of the category "OTHER".
  • Identifier: BARBM3BPAG . This is a "CLIA LAB DIRECTOR BLOOD PH AND GASES" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: BARBM3CLTO . This is a "CLIA LAB DIRECTOR CLINICAL TOXICOLOGY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: BARBM3ENDO . This is a "CLIA LAB DIRECTOR ENDOCRINOLOGY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 267 . This is a "AMERICAN SOCIETY OF CLINICAL PATHOLOGY" identifier . This identifiers is of the category "OTHER".
  • Identifier: BARBM3CLIN . This is a "CLIA LAB DIRECTOR CLINICAL CHEMISTRY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".