Individual
SHIRLY HASHUMAL RAMCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 NEVINS ST STE 304, BRIGHTON, MA 02135-3514
(857) 242-0070
(617) 562-0600
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156897
MA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
156897
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018929
NEIGHBORHOOD HEALTH
MA
01
—
156897
TUFTS
MA
05
—
3178749
—
MA
01
—
J18931
BLUE CROSS
MA
01
—
V933
HARVRD PILGRIM
MA
Enumeration date
06/25/2006
Last updated
07/19/2019
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