Provider Demographics
NPI:1295797728
Name:SHAILA ASSOCIATES, INC
Entity type:Organization
Organization Name:SHAILA ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAILA
Authorized Official - Middle Name:ASHOK
Authorized Official - Last Name:CHOLLI
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:978-452-4999
Mailing Address - Street 1:6 ROSEMARY LN
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4658
Mailing Address - Country:US
Mailing Address - Phone:978-828-5555
Mailing Address - Fax:978-452-6999
Practice Address - Street 1:2 COURTHOUSE LN
Practice Address - Street 2:UNIT 11
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1715
Practice Address - Country:US
Practice Address - Phone:978-452-4999
Practice Address - Fax:978-452-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-02
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASH327094Medicare ID - Type UnspecifiedIDTF