Individual
OMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
291571
MA
2084P0800X
Psychiatry Physician
291571
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
291571
MA
Other
Enumeration date
08/08/2014
Last updated
08/14/2025
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