Shabashov, Anatoli
Shabashov, Anatoli is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shabashov, Anatoli can be contacted via phone (617) 665-1240.Contact Information
Primary practice address
1493 Cambridge St
Cambridge MA 02139-1047
Phone: (617) 665-1240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 208534 | Massachusetts |
Profile Details
| NPI number | 1144277831 |
|---|---|
| LBN Legal business name | Shabashov, Anatoli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Feb 9th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144277831 | NPPES |
| Massachusetts | Other | AA54253 | HARVARD PILGRIM HEALTH PLAN |
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