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

Shiva Sridar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588467674

Shiva Sridar is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 3019048 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588467674
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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