Provider Demographics
NPI:1013951656
Name:YASSA, DAVID SHOUKRY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SHOUKRY
Last Name:YASSA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:110 FRANCIS ST
Mailing Address - Street 2:LOWRY BUILDING SUITE GB
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-7706
Mailing Address - Fax:617-632-7626
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:LOWRY BUILDING SUITE GB
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-7706
Practice Address - Fax:617-632-7626
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-03-18
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Provider Licenses
StateLicense IDTaxonomies
MA227352207R00000X, 208000000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics