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

Shaza Ben Khadra, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1477176444

Shaza Ben Khadra, MD is a Pathology in Springfield, Massachusetts. Qualified in 2011, 15 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
15
Licensed in
MA, RI
In the registry since
2020
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

759 Chestnut Street D1170
Springfield, MA 01107-1619
Phone: (413) 794-4550
Fax: (413) 794-3195
Show map & directions

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

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-5057

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 1021492 (MA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence LP04980 (RI)

Record details

NPI number1477176444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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