Individual
PRERAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
198 MASSACHUSETTS AVE, #103, N ANDOVER, MA 01845-4143
(978) 685-7550
(978) 686-5565
Mailing address
198 MASSACHUSETTS AVE, #103, N ANDOVER, MA 01845-4143
(978) 685-7550
(978) 686-5565
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
216505
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030238
NHP
—
01
—
01Y004790MA01
NH BS
—
01
—
11882
NH LICENSE
—
01
—
191157
H PIL
—
01
—
216505
MA LICENSE
—
01
—
3212109
AETNA USHC
—
01
—
43239435
HCVM
—
01
—
48844
CHILDRENS MSP
—
01
—
59857
FALLON
—
01
—
7 7 03
ONE HEALTH
—
01
—
9495329
CIGNA
—
01
—
9495329 001
CIGNA PAL
—
01
—
973183
NETWORK HEALTH
—
01
—
A35450
MC
—
01
—
J26201
BS MA
—
Enumeration date
08/19/2005
Last updated
03/07/2023
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