Individual
DR. KHAYAM SHAUKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
291 INDEPENDENCE DR, INTERNAL MEDICINE, CHESTNUT HILL, MA 02467-3628
(617) 541-6505
(617) 541-6444
Mailing address
291 INDEPENDENCE DR, INTERNAL MEDICINE, CHESTNUT HILL, MA 02467-3628
(617) 541-6505
(671) 541-6444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226708
MA
207R00000X
Internal Medicine Physician
350582718S
OH
207R00000X
Internal Medicine Physician
ME101820
FL
208M00000X
Hospitalist Physician
ME101820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158205
—
MA
05
—
2438393
—
OH
Enumeration date
06/04/2006
Last updated
08/16/2017
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