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Individual

SHAILESH J. SHAH

Active
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Individual

SHAILESH J. SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
58096
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058096
TUFTS HEALTH PLAN
MA
01
—
11258
FALLON
MA
01
—
12-01159
UNITED HEALTHCARE
MA
01
—
20432
HARVARD PILGRIM
MA
05
—
3024491
—
MA
01
—
4041104
AETNA
MA
01
—
981952
NETWORK HEALTH
MA
01
—
B11056101
CIGNA
MA
01
—
J06526
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
07/19/2005
Last updated
07/21/2011
About Stedi
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