Individual
MISS PREETI SUBRAMANYA SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, STONEMAN 10, BOSTON, MA 02215-5400
(617) 667-3940
Mailing address
330 BROOKLINE AVE, STONEMAN 10, BOSTON, MA 02215-5400
(617) 667-3940
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
252866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720228117
—
MA
05
—
1720228117
—
MO
Enumeration date
02/25/2009
Last updated
10/25/2013
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