Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 218400 | MA |
NPI | 1053538645 |
---|---|
Provider Name | Dr. Dhua Shaheen |
First Address | Boston, MA 02111-1533 |
Second Address | Boston, MA 02111-1533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |