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Contact Information

OMAR SHAH
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for OMAR SHAH · (Male)

NPI # 1285043778
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2014
Last updated 08/14/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 291571
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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