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Anatoli Shabashov

Male

Medical Specialty

Diagnostic Radiology

Professional ID

NPI: 1144277831
PECOS ID: 5294786752
Enrollment ID: I20050202000612
Credential(MD, DO, DPM): MD
Medical School: New York Medical College
Medical School Graduation Year: 1998

Hospital Service

Hospital CCN1: 220011
Business Name (LBN)1: Cambridge Health Alliance
Hospital CCN2: 220086
Business Name (LBN)2: Beth Israel Deaconess Medical Center
Hospital CCN3: 220071
Business Name (LBN)3: Massachusetts General Hospital

Medical Practices

Organization Name: Cambridge Public Health Commission
Group Practice ID assigned by PECOS: 8921910894
Number of Group Practice member: 500

Location

Address1: 195 Canal St
Address2:
City: Malden
State: Massachusetts
Zip Code: 02148
Phone Number: (781)338-0500

Location

Address1: 230 Highland Ave
Address2:
City: Somerville
State: Massachusetts
Zip Code: 02143
Phone Number: (617)591-4500

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS):
Used Electronic health record (EHR):