Organization
PC SHAH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAMODCHANDRA C SHAH MD (PRESIDENT)
(617) 846-5352
Entity
Organization
Contact information
Practice address
365 MAIN ST, WINTHROP, MA 02152
(617) 846-5352
(617) 846-1062
Mailing address
365 MAIN ST, WINTHROP, MA 02152
(617) 846-5352
(617) 846-1062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9731342
—
MA
Enumeration date
03/31/2006
Last updated
09/11/2025
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