Daniel, Shaji

Daniel, Shaji is an individual health care provider with primary practice located at 100 Wason Ave Suite 200, Springfield MA 01107-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Daniel, Shaji can be contacted via phone (413) 733-9666.

Contact Information

Primary practice address
100 Wason Ave Suite 200 Springfield MA 01107-1381
Fax: (413) 750-3432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 046979 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 237483 Massachusetts

Profile Details

NPI number 1639384548
LBN Legal business name Daniel, Shaji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated May 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639384548 NPPES
Massachusetts MEDICAID 2161826

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