Pramodchandra C Shah (NPI# 1316915465, PAC ID# 9830144625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1316915465 |
PAC ID by PECOS | 9830144625 |
Professional Enrollment ID | I20060228000209 |
Full Name | Pramodchandra C Shah |
Address |
365 Main St Winthrop MA 02152-1637 |
Gender | M |
Credential | MD |
Graduation Year | 1964 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialties | GENERAL PRACTICE, INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220070 | HALLMARK HEALTH SYSTEM |
220071 | MASSACHUSETTS GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
365 Main St, Winthrop, MA 02152-1637 |
Street Address |
365 MAIN ST |
City | WINTHROP |
State | MA |
Zip | 02152-1637 |
Name | Specialty | Organization | Address |
---|---|---|---|
Quinn Taylor Charbonneau | Podiatry | Foot and Ankle Associates | 2 Chamberlain Ave, Unit 2, Winthrop, MA 02152-1011 |
Dominick Garibaldi | Podiatry | Foot and Ankle Associates | 2 Chamberlain Ave, Unit 2, Winthrop, MA 02152-1011 |
Laverne Dennis Gugino | Anesthesiology | Remote Neuromonitoring Physicians PC | 119 Summit Ave, Winthrop, MA 02152-1037 |
Jessica M Benton | Nurse Practitioner | Hallmark Health Medical Associates Inc | 52 Crest Ave, Suite 1, Winthrop, MA 02152-1058 |
Barbara A Fine | Clinical Nurse Specialist | 246 Revere St, Winthrop, MA 02152-1072 | |
Robert N Staulo | Chiropractic | 52 Waveway Ave, Apt 1, Winthrop, MA 02152-1235 | |
Matthew J Kaim | Optometry | 50 Jefferson St, Winthrop, MA 02152-2649 | |
John M Riley | Clinical Psychologist | 193 Main St, Winthrop, MA 02152-2737 | |
William J Squires | Physical Therapy | Championship Physical Therapy LLC | 57 Putnam St, Winthrop, MA 02152-2902 |
Paul Mcgee | Chiropractic | 57 Putnam St, Winthrop, MA 02152-2902 | |
Find all physicians in zip 02152 |
City | WINTHROP |
Zip Code | 02152 |
Specialty | GENERAL SURGERY |
City + Specialty | WINTHROP + GENERAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.