Provider Demographics
NPI:1497075964
Name:MUKERJI, SHIBANI SHARON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SHIBANI
Middle Name:SHARON
Last Name:MUKERJI
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:MGH WANG ACC 835
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST. WANG BUILDING 7TH FLOOR
Practice Address - Street 2:DEPARTMENT OF NERUOLOGY MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-8639
Practice Address - Fax:617-724-0895
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2016-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAL-244603207R00000X
MA2546462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine