Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.121964 | OH |
N | 111NI0900X | Internist | 35.121964 | OH |
Y | 207RG0300X | Geriatric Medicine | 265046 | MA |
NPI | 1144548223 |
---|---|
Provider Name | Shivani Jindal |
First Address | Boston, MA 02118 |
Second Address | Boston, MA 02118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 05/12/2019 |