Shirazi, Manoucher Shadman

Shirazi, Manoucher Shadman is an individual health care provider with primary practice located at 10 Research Place , N Chelmsford MA 01863-2439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shirazi, Manoucher Shadman can be contacted via phone (978) 275-9650.

Contact Information

Primary practice address
10 Research Place N Chelmsford MA 01863-2439
Fax: (978) 275-9552
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 32933 Massachusetts

Profile Details

NPI number 1134198955
LBN Legal business name Shirazi, Manoucher Shadman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 17th, 2012 - about 12 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 1134198955 NPPES
Massachusetts MEDICAID 2030497

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