Individual
MRS. ANITA RAMYA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
300 LONGWOOD AVE, ROOM 9155 ATTN: SUSAN BROOKS, BOSTON, MA 02115-5724
(617) 355-3059
Mailing address
300 LONGWOOD AVE, ROOM 9155 ATTN: SUSAN BROOKS, BOSTON, MA 02115-5724
(617) 355-3059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
254065
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2010
Last updated
05/16/2013
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