Provider Demographics
NPI:1013159292
Name:BIYANI, SHRUTI SATYANARAYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHRUTI
Middle Name:SATYANARAYAN
Last Name:BIYANI
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 1:62 BROWN STREET
Mailing Address - Street 2:SUITE 507
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830
Mailing Address - Country:US
Mailing Address - Phone:978-722-7818
Mailing Address - Fax:603-898-8300
Practice Address - Street 1:18 KEEWAYDIN DRIVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079
Practice Address - Country:US
Practice Address - Phone:603-870-9150
Practice Address - Fax:603-212-9194
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16101207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110096998AMedicaid
NH3090099Medicaid
1013159292Medicare UPIN
NH3090099Medicaid