Dr Shaidah Deghan Manshadi, - Surgery in Boston, MA

Dr Shaidah Deghan Manshadi, is a Surgery - Vascular Surgery physician based in Boston, Massachusetts. Dr Shaidah Deghan Manshadi is licensed to practice in ZZ (license number 112664) and her current practice location is 55 Fruit St, Boston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (416) 834-7334.

NPI number for Dr Shaidah Deghan Manshadi is 1528745320 and her current mailing address is 55 Fruit St, Boston, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528745320.

Contact Information

Dr Shaidah Deghan Manshadi,
55 Fruit St,
Boston, MA 02114-2621
(416) 834-7334
Not Available

Map and Direction




Physician's Profile

Full NameDr Shaidah Deghan Manshadi
GenderFemale
SpecialitySurgery - Vascular Surgery
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528745320
  • Provider Enumeration Date: 07/03/2023
  • Last Update Date: 10/30/2024

Medical Identifiers

Medical identifiers for Dr Shaidah Deghan Manshadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528745320NPI-NPPES
112664OtherCANADIAN PHYSICIANS AND SURGEONS OF ONTARIO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 1020791 (Massachusetts)Secondary
2086S0129XSurgery - Vascular Surgery 112664 (ZZ)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shaidah Deghan Manshadi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shaidah Deghan Manshadi,
55 Fruit St,
Boston, MA 02114-2621

Ph: () -
Dr Shaidah Deghan Manshadi,
55 Fruit St,
Boston, MA 02114-2621

Ph: (416) 834-7334

Reviews and Comments


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