Eisner, Shazneen Keyamanesh

Eisner, Shazneen Keyamanesh is an individual health care provider with primary practice located at 630 Boston Rd Suite 104, Billerica MA 01821-3783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Eisner, Shazneen Keyamanesh can be contacted via phone (978) 663-3410.

Contact Information

Primary practice address
630 Boston Rd Suite 104 Billerica MA 01821-3783
Phone: (978) 663-3410
Fax: (978) 670-8110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 151116 Massachusetts

Profile Details

NPI number 1306911573
LBN Legal business name Eisner, Shazneen Keyamanesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 30th, 2014 - about 11 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 1306911573 NPPES
Massachusetts MEDICAID 3157172

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