Puja Shankar

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

1016663 Issued in MA

Practice address

330 Brookline Ave
Boston, MA 02215

Phone

(617) 667-5048

Fax

(617) 667-5050

NPI assigned

Apr 22, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1265967764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155491",
            "telephone_number": "617-667-5048",
            "fax_number": "617-667-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-5048",
            "fax_number": "617-667-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Retreat Ave",
            "address_2": "Hartford Hospital, Adult Primary Care - Brown Stone",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061062527",
            "country_code": "US",
            "telephone_number": "860-972-0200",
            "fax_number": "860-545-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "PUJA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "1016663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Skatvik Shank, MD
• Kaitlyn Ruth Shank
• Divya A. Shankar, MD
• Ganesh M Shankar, MD, PHD
• Kalpana N. Shankar, MD
• Sravya Bharathi Shankara, MD
• Vignesh Shanmugam, M.D.
• Sarah Elizabeth Shannahan, M.D.
• Emily Kathryn Shanno, PA-C
• Shannon Lynch Psychotherapy

• Pain Medicine (Anesthesiology) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pain Medicine (Anesthesiology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.