Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 240448 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 240448 | MA |
NPI | 1487832242 |
---|---|
Provider Name | Jeffrey Alan Shih |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2008 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110082932A | (05) | MA |