Basic Information
Provider Information
NPI: 1710419650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEGUM
FirstName: SAIMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2420 LAKE AVE
Address2:  
City: ASHTABULA
State: OH
PostalCode: 440044954
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2420 LAKE AVE
Address2:  
City: ASHTABULA
State: OH
PostalCode: 440044970
CountryCode: US
TelephoneNumber: 4409972262
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2017
LastUpdateDate: 08/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X35.143156OHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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