Individual
SHAILESH J. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1385 LAKEVIEW AVE, DRACUT, MA 01826-3414
(978) 957-6675
(978) 957-5887
Mailing address
1385 LAKEVIEW AVE, DRACUT, MA 01826-3414
(978) 957-6675
(978) 957-5887
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
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