Individual
SHALINI HARIVADAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
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
Primary
283267
MA
208000000X
Pediatrics Physician
65286
CT
Other
Enumeration date
03/27/2017
Last updated
08/14/2020
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