Individual
DR. SHITAL MAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
30, CAMBRIDGEPARK DRIVE, APT 8127, CAMBRIDGE, MA 02140
(847) 343-4361
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125-05-1880
IL
2085R0202X
Diagnostic Radiology Physician
Primary
237359
MA
Other
Enumeration date
04/09/2008
Last updated
11/22/2022
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