Individual
DR. JAHANSOUZ SHOKRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 ARSENAL ST, INTERNAL MEDICINE, WATERTOWN, MA 02472-5091
(617) 972-5240
(617) 972-5512
Mailing address
485 ARSENAL ST, INTERNAL MEDICINE, WATERTOWN, MA 02472-5091
(617) 972-5240
(617) 972-5512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230266
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2004027804
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000073801
—
MA
05
—
208325209
—
MO
Enumeration date
05/30/2005
Last updated
11/17/2020
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