Individual
SHAJI DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WASON AVE, SUITE 200, SPRINGFIELD, MA 01107-1381
(413) 733-9666
(413) 750-3432
Mailing address
100 WASON AVE, STE 200, SPRINGFIELD, MA 01107-1179
(413) 733-9666
(413) 750-3432
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
046979
CT
207RN0300X
Nephrology Physician
Primary
237483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161826
—
MA
Enumeration date
05/14/2007
Last updated
05/01/2019
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