Individual
SHAIRKO MISSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
293668
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
293668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110196052A
—
MA
05
—
3148754
—
NH
Enumeration date
11/22/2010
Last updated
04/17/2026
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