Individual
DR. SHEHZAD S. BASARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-5666
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
238192
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
238192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082033A
—
MA
Enumeration date
04/18/2006
Last updated
07/19/2019
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