Leslie A Shinobu is a Neurology in Boston, Massachusetts. Leslie A Shinobu practices all healthcare services and medical treatments related to Neurology. The NPI Number for Leslie A Shinobu is 1699754507. The last update date is 2007-07-08.
Leslie A Shinobu's current location address is 15 Parkman St, Boston, Massachusetts. You can contact this provider via phone number 6177265532 and fax number 6177266991. The mailing address for Leslie A Shinobu is 15 Parkman St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie A Shinobu |
|---|---|
| Address | 15 Parkman St, Boston, Massachusetts |
| Phone Number | 6177265532 |
| Fax Number | 6177266991 |
| Sole Proprietor | Y |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1699754507 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Parkman St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21143117 |
| Phone Number | 6177265532 |
| Fax Number | 6177266991 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 78256 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J16437 | MA | BCBS MA | |
| 78256 | MA | TUFTS HEALTH PLAN | |
| 3148289 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leslie A Shinobu by the Centers for Medicare & Medicaid Services?
The Leslie A Shinobu has been issued the NPI (National Provider Identifier) 1699754507, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Leslie A Shinobu?
The Leslie A Shinobu is physically situated at 15 Parkman St, in the city of Boston, state of MA, with the postal code 21143117.
What is Leslie A Shinobu's area of expertise and its corresponding taxonomy classification?
The Leslie A Shinobu's field of specialization is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699754507 to Leslie A Shinobu?
The Centers for Medicare & Medicaid Services originally issued the 1699754507 to Leslie A Shinobu on 2006-01-10.
As of what date were the details related to Leslie A Shinobu most recently updated or revised?
The information pertaining to Leslie A Shinobu, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.