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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306911573 | NPPES |
| Massachusetts | MEDICAID | 3157172 |
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