Provider Demographics
NPI:1669688784
Name:NATAN, SHAW R (MD)
Entity type:Individual
Prefix:DR
First Name:SHAW
Middle Name:R
Last Name:NATAN
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Gender:
Credentials:MD
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Mailing Address - Street 1:BMCHS PROVIDER ENROLLMENT
Mailing Address - Street 2:960 MASSACHUSETTS AVE FLR 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:CARDIOVASCULAR MEDICINE SUITE, 4TH FL MARGARET'S
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-562-7690
Practice Address - Fax:617-562-7699
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2025-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD422744207RC0000X
MA235960207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease