Individual
TISHI S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
275649
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
271817
MA
Other
Enumeration date
09/06/2012
Last updated
09/06/2022
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