Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Suraj Shah, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568104347

Dr. Suraj Shah, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Works from 3 locations. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 330 Brookline Ave, Boston, MA 02215-5400 — (617) 667-5864
  • 622 W 168th St, New York, NY 10032-3720 — (212) 305-6262

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 3017801 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1568104347
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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