Individual
FATHALLA MASHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CONVERSE PL, SUITE 4, WINCHESTER, MA 01890-2713
(781) 729-0500
(781) 729-0581
Mailing address
10 CONVERSE PL, SUITE 4, WINCHESTER, MA 01890-2713
(781) 729-0500
(781) 729-0581
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
152670
MA
207L00000X
Anesthesiology Physician
MD09332
RI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
152670
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD09332
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029495
BMC
MA
01
—
0010025
NHP
—
01
—
0028221
NHP
—
01
—
050091454
RAILROAD
—
01
—
050092409
RAILROAD
—
01
—
152670
TUFTS
MA
01
—
202010504
CHOICECARE
MA
01
—
251516
FIRST HEALTH
MA
01
—
276127
HPHC
MA
05
—
30207078
—
NH
05
—
3160840
—
MA
01
—
3787519
AETNA
MA
01
—
3799831
AETNA
—
01
—
405332
BLUE CHIP
RI
01
—
408547
BLUE CHIP
RI
01
—
4268
NHP
—
01
—
4306245
CIGNA
MA
01
—
4306245
CIGNA
—
01
—
5253541
AETNA
MA
01
—
65315
FHP
MA
05
—
7005612
—
RI
01
—
973948
TUFTS
MA
01
—
97394803
NETWORK HEALTH
MA
01
—
AA20850
HPHC
MA
01
—
AA30508
HPHC
MA
01
—
AA64197
HPHC
MA
01
—
AA81270
HPHC
MA
01
—
J17353
BCBS
MA
01
—
P00069529
RAILROAD
—
01
—
P00391599
RAILROAD
—
Enumeration date
04/18/2006
Last updated
09/17/2013
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