Provider Demographics
NPI:1053538645
Name:SHAHEEN, DHUA (MD)
Entity type:Individual
Prefix:DR
First Name:DHUA
Middle Name:
Last Name:SHAHEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:750 WASHINGTON STREET
Mailing Address - Street 2:NEMC BOX#268
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1533
Mailing Address - Country:US
Mailing Address - Phone:617-636-8931
Mailing Address - Fax:617-636-4719
Practice Address - Street 1:750 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1533
Practice Address - Country:US
Practice Address - Phone:617-636-8931
Practice Address - Fax:617-636-4719
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA218400207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism