Individual
PINAK B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(857) 307-1986
(857) 307-1975
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-1986
(857) 307-1955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
130869
MA
207RC0000X
Cardiovascular Disease Physician
150869
MA
207RI0011X
Interventional Cardiology Physician
Primary
150869
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154408
—
MA
Enumeration date
10/25/2005
Last updated
02/21/2013
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