Shukuru Kisirani, PA STUDENT is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Shukuru Kisirani is licensed to practice in * (Not Available) (license number ) and his current practice location is
360 Huntington Ave, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 373-2000.
NPI number for Shukuru Kisirani is 1851172936 and his current mailing address is 1444 Commonwealth Ave Apt 4, Brighton, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851172936.
Provider's Profile
Full Name | Shukuru Kisirani |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 360 Huntington Ave, Boston, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851172936
- Provider Enumeration Date: 10/13/2023
- Last Update Date: 10/13/2023
Medical Identifiers
Medical identifiers for Shukuru Kisirani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851172936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Shukuru Kisirani 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 Address | Practice Location Address |
Shukuru Kisirani, PA STUDENT 1444 Commonwealth Ave Apt 4, Brighton, MA 02135-3710 Ph: () - | Shukuru Kisirani, PA STUDENT 360 Huntington Ave, Boston, MA 02115-5000 Ph: (617) 373-2000 |
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