Individual
MAITRIYI JOKHU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, CWN L1, BOSTON, MA 02115-6110
(617) 732-8218
(617) 582-6131
Mailing address
75 FRANCIS ST, CWN L1, BOSTON, MA 02115-6110
(617) 732-8218
(617) 582-6131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
247014
MA
390200000X
Student in an Organized Health Care Education/Training Program
141766
NC
Other
Enumeration date
05/25/2007
Last updated
12/19/2014
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