Individual
AKSHAY SHANBHAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7299
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
286446
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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