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Individual

DR. RAHUL K SHAH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 LONGWOOD AVE, BOSTON, MA 02115-5711
(617) 355-6462
Mailing address
22 CHESTNUT PL, UNIT #612, BROOKLINE, MA 02445-7565
(617) 738-1504

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
223441
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2107988
MA
Enumeration date
02/15/2006
Last updated
07/08/2007
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