Provider Demographics
NPI:1396448775
Name:MCDONOUGH, SEJAL SHAH (MD)
Entity type:Individual
Prefix:DR
First Name:SEJAL
Middle Name:SHAH
Last Name:MCDONOUGH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:800 HARRISON AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2905
Mailing Address - Country:US
Mailing Address - Phone:617-638-7933
Mailing Address - Fax:617-638-7965
Practice Address - Street 1:800 HARRISON AVE FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2905
Practice Address - Country:US
Practice Address - Phone:617-638-7933
Practice Address - Fax:617-638-7965
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-12-04
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Provider Licenses
StateLicense IDTaxonomies
MA3015038207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology