Provider Demographics
NPI:1114991312
Name:ALSHIRAWI, REEMA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:REEMA
Middle Name:Y
Last Name:ALSHIRAWI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1618
Mailing Address - Country:US
Mailing Address - Phone:617-796-7170
Mailing Address - Fax:617-796-7171
Practice Address - Street 1:272 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1618
Practice Address - Country:US
Practice Address - Phone:617-796-7170
Practice Address - Fax:617-796-7171
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine