SHAZNEEN KEYAMANESH EISNER


Address: 630 Boston Rd, Suite 104, Billerica, MA 01821-3783
Phone: 9786633410

SHAZNEEN KEYAMANESH EISNER (NPI# 1306911573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306911573
Entity Type Individual
Full Name SHAZNEEN KEYAMANESH EISNER
Other Name SHAZNEEN JAL KEYAMANESH
Credential M.D.
Practice Address 630 Boston Rd
Suite 104
Billerica
MA 01821-3783
Mailing Address Po Box 709
Burlington
MA 01803-5709
Practice Telephone 9786633410
Practice Fax Number 9786708110
Mailing Telephone 9786633410
Mailing Fax Number 9786708110
Enumeration Date 2006-11-22
Last Update Date 2014-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 151116 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3157172 05

Office Location

Street Address 630 BOSTON RD
SUITE 104
City BILLERICA
State MA
Zip Code 01821-3783

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508973322 Beth Douglas Chiropractor 630 Boston Rd, Billerica, MA 01821-3783 2006-08-25
1447454244 Douglas Chiropractic Care, LLP Chiropractor 630 Boston Rd, Billerica, MA 01821-3783 2007-06-14
1114093978 Concord River Medical Associates PC Internal Medicine 630 Boston Rd, Suite 104, Billerica, MA 01821-3783 2006-11-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740828490 Bh Brightview Concord River Opco, LLC Alzheimer Center (Dementia Center) 199 Concord River, Billerica, MA 01821 2019-12-12
1225503857 Lori Ann Silva Nurse Practitioner 5 River Street, Billerica, MA 01821 2018-10-10
1255819090 Kacie Dawn Melo Counselor Billerica Memorial High School 35 River St, Billerica, MA 01821 2018-08-03
1750889937 Cassidy Erin Lapointe Behavior Technician 120 Pollard St, Billerica, MA 01821 2018-01-23
1679025993 Shp Iv Concord River LLC Alzheimer Center (Dementia Center) 199 Concord Road, Billerica, MA 01821 2016-11-03
1790110393 Michele Lee Krasinski Registered Nurse 100 Partridge Road, Billerica, MA 01821 2013-09-13
1538591573 Riverside Community Care Community/Behavioral Health 5 Riverhurst Road Apartment 516, Billerica, MA 01821 2013-08-01
1780029900 Stephen D Fell Hearing Instrument Specialist 26 Mount Vernon Avenue, Billerica, MA 01821 2013-05-01
1578822268 Akhtar Khan Dentist 8 Tower Farm Rd., Billerica, MA 01821 2012-05-15
1942584578 Mary Louise Kellerman Dental Hygienist 38 Pratt St., Billerica, MA 01821 2011-09-30
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205122876 Nancy Anne Resteghini Internal Medicine 11 Baniulis Rd, Billerica, MA 01821-1509 2011-06-22
1417975889 Glenn Buenaventura Gutierrez Internal Medicine 267 Boston Rd., Suite 20, Billerica, MA 01862 2006-07-17
1477522852 Lawrence Newman Md & Penelope Hall Md Internal Medicine 572 Boston Rd, Billerica, MA 01821-3776 2006-03-16
1578550885 Padmavati Pimrale Internal Medicine 790 Boston Rd, Billerica, MA 01821-5938 2005-10-03
1093963381 Burlington Medical Group. LLC Internal Medicine 790 Boston Rd, Billerica, MA 01821 2008-08-29
1245450931 Thomas Quincy Garvey Internal Medicine 790 Boston Rd, Billerica, MA 01821-5938 2007-04-26
1114093978 Concord River Medical Associates PC Internal Medicine 630 Boston Rd, Suite 104, Billerica, MA 01821-3783 2006-11-25
1134134620 Burlington Medical Group,pc Internal Medicine 790 Boston Rd, Billerica, MA 01821-5938 2006-07-31
1932148020 John W Dickason Internal Medicine 790 Boston Rd, Billerica, MA 01821-5938 2006-06-05
1902845993 Anna I Livson Internal Medicine 790 Boston Rd, Billerica, MA 01821-5938 2006-06-05
Find all providers in BILLERICA

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City BILLERICA
Zip Code 01821

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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