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Individual
SHAHEEN MIAN
Active
Individual
SHAHEEN MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77276
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077276
TUFTS
MA
05
—
3147291
—
MA
01
—
65033
HPHC
MA
Enumeration date
10/03/2006
Last updated
12/15/2010
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