Skip Navigation

Provider Information for 1528122819

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANKOOR S SHAH M.D., PH.D.

Gender: MALE

Individual NPI: 1528122819

Calendar   Last Updated:  2020-04-22
  Certification Date:  2020-04-22

Details

Name Value
NPI 1528122819
Enumeration Date 2006-12-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6401 | Fax: 617-730-0392
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6401 | Fax: 617-730-0392
View Map External Link
Secondary Practice Address 243 CHARLES ST
BOSTON, MA 02114-3002
United States

Phone: 617-355-6401 | Fax: 617-730-0392
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207WX0110X - Ophthalmology Pediatric Ophthalmology and Strabismus Specialist MA 238309
No 207W00000X - Ophthalmology MA 227749