Individual
SHAHRAM KHOSHBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S UROLOGY FOUNDATION, BOSTON, MA 02115
(617) 355-5081
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42900
MA
208800000X
Urology Physician
42900
MA
Other
Enumeration date
02/24/2006
Last updated
06/23/2009
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