Individual
SHRADHA BISHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 STANIFORD ST, BOSTON, MA 02114-2517
(617) 724-8050
Mailing address
50 STANIFORD ST STE 300, BOSTON, MA 02114-2542
(617) 724-8050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN2299738
MA
363L00000X
Nurse Practitioner
Primary
RN2299738
MA
Other
Enumeration date
11/15/2019
Last updated
10/17/2025
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