Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 41427 | MA |
NPI | 1134202237 |
---|---|
Provider Name | Bhavesh L Shah |
First Address | Springfield, MA 01199-1619 |
Second Address | Springfield, MA 01199-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 22/01/2014 |