Provider Demographics
NPI:1457308140
Name:SHOCAIR, MAWYA (MD)
Entity Type:Individual
Prefix:
First Name:MAWYA
Middle Name:
Last Name:SHOCAIR
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 1:6 LEXINGTON ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-4401
Mailing Address - Country:US
Mailing Address - Phone:781-899-5555
Mailing Address - Fax:
Practice Address - Street 1:6 LEXINGTON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-4401
Practice Address - Country:US
Practice Address - Phone:781-899-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37601207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2046113Medicaid
B47158Medicare PIN