Provider Demographics
NPI:1396966206
Name:SHAH, UMER SAYEED (MD)
Entity type:Individual
Prefix:
First Name:UMER
Middle Name:SAYEED
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 PARKCENTRAL DRIVE SUITE 210
Mailing Address - Street 2:AVC / ACC
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772
Mailing Address - Country:US
Mailing Address - Phone:508-481-8346
Mailing Address - Fax:508-481-8340
Practice Address - Street 1:2 PARKCENTRAL DRIVE SUITE 210
Practice Address - Street 2:AVC / ACC
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772
Practice Address - Country:US
Practice Address - Phone:508-481-8346
Practice Address - Fax:508-481-8340
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-02-27
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Provider Licenses
StateLicense IDTaxonomies
WV214102086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery