Individual
SARA SHADCHEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
LAHEY CLINIC DEPARTMENT OF PULMONARY, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8481
Mailing address
LAHEY CLINIC DEPARTMENT OF PULMONARY, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230914
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
230914
MA
207RP1001X
Pulmonary Disease Physician
Primary
230914
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085825A
—
MA
Enumeration date
04/03/2007
Last updated
11/13/2018
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