Shuttari, Mir

Shuttari, Mir is an sole proprietor health care provider with primary practice located at 90 Ter Heun Dr , Falmouth MA 02540-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Shuttari, Mir can be contacted via phone (508) 548-8574.

Contact Information

Primary practice address
90 Ter Heun Dr Falmouth MA 02540-2533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 52726 Massachusetts

Profile Details

NPI number 1487607065
LBN Legal business name Shuttari, Mir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Feb 2nd, 2009 - about 17 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 1487607065 NPPES
Massachusetts Other 052726 TUFTS HEALTH
Massachusetts Other 23598 TUFTS HEALTH
Massachusetts MEDICAID 0105961 TUFTS HEALTH

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