Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shmuel Erez Davidi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790168037

Dr. Shmuel Erez Davidi, MD is a Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 856-4161
Fax: (508) 856-6703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 277144 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 264440 (MA)

Record details

NPI number1790168037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

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