Individual
DR. VICKI SHANGRAW KVEDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
467 MAIN ST, MELROSE, MA 02176-3856
(781) 662-2216
(781) 662-2297
Mailing address
12 GREY LN, LYNNFIELD, MA 01940-1240
(781) 334-6316
(781) 334-6196
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
59738
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078418
—
MA
Enumeration date
02/13/2006
Last updated
10/03/2012
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