Provider Demographics
NPI:1689609232
Name:SHAFI, FARAH (MD)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:SHAFI
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 1:20 WALL ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-4758
Mailing Address - Country:US
Mailing Address - Phone:781-221-2940
Mailing Address - Fax:781-221-2854
Practice Address - Street 1:20 WALL ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4758
Practice Address - Country:US
Practice Address - Phone:781-221-2940
Practice Address - Fax:781-221-2854
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230478207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5743734OtherFIRST HEALTH - COVENTRY
MA1298389OtherCIGNA
MAAA77327OtherHARVARD PILGRIM
MA1689609232Medicaid
MA0040145OtherNEIGHBORHOOD HEALTH PLAN
MAJ41082OtherBLUE CROSS BLUE SHIELD
MA495541OtherTUFTS HEALTH PLAN
MA5743734OtherFIRST HEALTH - COVENTRY