Individual
HADEER SHAIKHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
(508) 856-1860
Mailing address
PO BOX 415348, BOSTON, MA 02241-0002
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
038284
CT
2085R0202X
Diagnostic Radiology Physician
208476
MA
2085R0204X
Vascular & Interventional Radiology Physician
038284
CT
2085R0204X
Vascular & Interventional Radiology Physician
208476
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001382845
—
CT
05
—
110042213A
—
MA
Enumeration date
11/30/2005
Last updated
06/08/2021
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