Individual
AGAM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 SPEEN ST, NATICK, MA 01760-1538
(508) 655-0471
(508) 650-3547
Mailing address
313 SPEEN ST, NATICK, MA 01760-1538
(508) 720-3630
(508) 650-3547
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
211336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077184A
—
MD
Enumeration date
01/24/2007
Last updated
07/15/2019
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