Individual
DR. SHAIDAH DEGHAN MANSHADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(416) 834-7334
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
1020791
MA
2086S0129X
Vascular Surgery Physician
Primary
112664
ZZ
2086S0129X
Vascular Surgery Physician
Primary
112664
—
2086S0129X
Vascular Surgery Physician
38729
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112664
CANADIAN PHYSICIANS AND SURGEONS OF ONTARIO
—
05
—
3147410
—
NH
Enumeration date
07/03/2023
Last updated
01/27/2026
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