Search › Massachusetts › 207L00000X
Shohreh Modanlou, M.D
NPI 1154506871 · on the registry since 2007
Practice
- Address
- 750 Washinton Street
Boston, MA 02111 - Phone
- (617) 636-9303
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts