NPI 1104708007 · live from the CMS NPI Registry
Fnu Afrah Shibu, MD
Psychiatry & Neurology, Neurology in Boston, MA. National Provider Identifier 1104708007, active.
NPI record
| NPI | 1104708007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 85 East Concord St, Department Of Neurology, 1st Floor, Boston, MA 02118 |
| Practice phone | 617-638-5350 |
| Mailing address | 701 Massachusetts Ave Apt 8, Boston, MA 02118 |
| Enumerated | July 22, 2025 |
| Last updated | July 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 3018775 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.