Individual
ANKOOR S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6401
(617) 730-0392
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6401
(617) 730-0392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
227749
MA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
238309
MA
Other
Enumeration date
12/20/2006
Last updated
04/22/2020
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