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NPI Code Detail

MEDICARE: ARCHANA S SHAH MD

MEDICARE: ARCHANA S SHAH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician204844MA

General Provider Information

NPI Number : 1184685133
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARCHANA S SHAH MD
Provider Business Mailing Address
First Line : PO BOX 40
Second Line :
City : SOUTHBRIDGE
State : MA
Zip : 01550-0040
Country : US
Telephone Number : 508-909-7799
Fax Number :
Provider Business Practice Location Address
First Line : 10 N MAIN ST
Second Line :
City : CHARLTON
State : MA
Zip : 01507-1590
Country : US
Telephone Number : 508-248-3015
Fax Number : 508-248-4734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 10/15/2020

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Directions to “ ARCHANA S SHAH MD” Practice Location

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