Individual
DR. SHIRLEY A WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 MAIN ST, SPRINGFIELD, MA 01104-3566
(413) 733-0010
(413) 930-2108
Mailing address
PO BOX 366, LUDLOW, MA 01056-0366
(413) 733-0010
(413) 930-2108
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
59030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195031
—
MA
Enumeration date
11/09/2005
Last updated
07/21/2022
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