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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADRACK MASOO-WAITA MAINGI, PA-C

Active

SHADRACK MASOO-WAITA MAINGI, PA-C is a Medical Physician Assistant healthcare provider located in SPRINGFIELD, Massachusetts. NPI 1215599188 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SPRINGFIELD, MA

Registration Details

NPI Number
1215599188
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2019 (6.9395694709169 yrs)
Last Updated
Jul 1, 2019

Practice Information

Address
819 WORCESTER ST STE 1
SPRINGFIELD, MA, 011511056
Browse MA providers · Browse ZIP 01151
Phone
4133042501
Fax
4137890290
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SPRINGFIELD, MA

Name Credential NPI
MELISSA LEMIECH PA-C 1881691624
MR. PATRICK E. MADDEN PA-C 1679556385
MS. CHRISTINA CAMARA P.A. 1144204298
MS. KIMBERLY M LOOKNER PA-C 1457335093
BETHANY B. FOSTER PA-C 1851377964
SCOTT D RUBIN PA 1649257031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.