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Contact Information

SHIVKUMAR H JHA, MD
23 WYMAN RD
LEXINGTON, MA02420-3237
 Phone: 617-817-6041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SHIVKUMAR H JHA · (Male)

NPI Number 1881751204
Status Active
Credentials MD
Entity Individual
Enumeration date 01/03/2007
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD044042
  • KS License # 04-43144
  • MA License # 230640
  • NM License # MD2012-0864
  • TX License # N8523
Hospital affiliation(s)
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
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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