Individual
MONTY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4422
(978) 825-6508
Mailing address
118 HUNTINGTON AVE, APT 606, BOSTON, MA 02116-5743
(512) 751-8079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
246499
MA
390200000X
Student in an Organized Health Care Education/Training Program
141680
NC
Other
Enumeration date
05/31/2007
Last updated
04/13/2012
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