Individual
SHANKER NESATHURAI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 NASHUA ST SRH, BOSTON, MA 02114-1198
(617) 573-2200
(617) 573-2209
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
78719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139719
—
MA
01
—
756152
TUFTS HEALTH PLAN
MA
01
—
J31222
BCBS MA
MA
Enumeration date
12/30/2005
Last updated
07/08/2007
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