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Individual
OMAR SHAH
Active
Individual
OMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
291571
MA
2084P0800X
Psychiatry Physician
291571
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
291571
MA
Other
Enumeration date
08/08/2014
Last updated
08/14/2025
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