Individual
DR. VYSHAKH SHIBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-3030
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5405
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
1022604
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
10/03/2025
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