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

Shukuru Kisirani, PASTUDENT

Individual provider Physician Assistant · NPI 1851172936

Shukuru Kisirani, PASTUDENT is a Physician Assistant in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

360 Huntington Ave
Boston, MA 02115-5000
Phone: (617) 373-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1851172936
Entity typeIndividual (Type 1)
GenderMale
Credentials PASTUDENT
Sole proprietorYes
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023

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