MEDICARE: SHAHAD ALGHAMDI

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
1	1835I0206X	Infectious Diseases Pharmacist	PH997234	MA

General Provider Information

NPI Number	:	1447187612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHAD ALGHAMDI

Provider Business Mailing Address
First Line	:	1260 BOYLSTON ST UNIT 437
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-4445
Country	:	US
Telephone Number	:	507-202-1867
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 BOYLSTON ST UNIT 437
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-4445
Country	:	US
Telephone Number	:	507-202-1867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ SHAHAD ALGHAMDI ” Practice Location

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