Provider Demographics
NPI:1659354587
Name:SHANKAR, VEENA R (MD)
Entity Type:Individual
Prefix:DR
First Name:VEENA
Middle Name:R
Last Name:SHANKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-7682
Practice Address - Street 1:571 UNION AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5829
Practice Address - Country:US
Practice Address - Phone:508-665-4547
Practice Address - Fax:508-665-4549
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2024-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA213245207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0196657Medicaid
MAH40574Medicare UPIN
MASH A34222Medicare ID - Type Unspecified