Individual
SHIVKUMAR H JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 WYMAN RD, LEXINGTON, MA 02420-3237
(617) 817-6041
Mailing address
23 WYMAN RD, LEXINGTON, MA 02420-3237
(617) 817-6041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
230640
MA
2084P0800X
Psychiatry Physician
N8523
TX
2084P0805X
Geriatric Psychiatry Physician
04-43144
KS
2084P0805X
Geriatric Psychiatry Physician
Primary
230640
MA
2084P0805X
Geriatric Psychiatry Physician
MD044042
DC
2084P0805X
Geriatric Psychiatry Physician
MD2012-0864
NM
2084P0805X
Geriatric Psychiatry Physician
N8523
TX
Other
Enumeration date
01/03/2007
Last updated
05/14/2024
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