Individual
DR. VIVEK MANHAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, BOSTON, MA 02111
(617) 636-5000
Mailing address
375 BOYLSTON ST, BROOKLINE, MA 02445-6007
(857) 307-0869
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
233439
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
251049
MA
Other
Enumeration date
10/21/2007
Last updated
08/29/2018
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