Shorta Yuasa
Emergency Physician Internist - Addiction Medicine
295 Varnum Ave
Lowell
, Massachusetts 01854-2134
Shorta Yuasa
Emergency Physician Internist - Addiction Medicine
295 Varnum Ave
Lowell
, Massachusetts 01854-2134
(978) 937-6161
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About
Features
Specialties
- Emergency Physician
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Shorta Yuasa
- 295 Varnum Ave
- Lowell, MA
- Zip : 01853-1802
- Phone : (978) 937-6161
Second Address
- Shorta Yuasa
- 295 Varnum Ave
- Lowell, MA
- Zip : 01854-2134
- Phone : (978) 937-6161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 153944 | MA |
| Y | 207RA0401X | Internist - Addiction Medicine | 153944 | MA |
National Provider Identifier
| NPI | 1629024328 |
|---|---|
| Provider Name | Shorta Yuasa |
| First Address | Lowell, MA 01853-1802 |
| Second Address | Lowell, MA 01854-2134 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 15/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3171353 | (05) | MA |
| J17924 | BCBS (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.