Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISETTA D. SHAH, M.D.
ActiveLISETTA D. SHAH, M.D. is a Family Medicine healthcare provider located in WORCESTER, Massachusetts. NPI 1205221900 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WORCESTER, MA
Registration Details
- NPI Number
- 1205221900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2015 (11.329768181705 yrs)
- Last Updated
- Jun 24, 2025
- License
-
273416 (MA)
Practice Information
- Address
-
5 NEPONSET STREETWORCESTER, MA, 016062714Browse MA providers · Browse ZIP 01606
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MARY LINDHOLM | M.D. | 1265428155 |
| PHILIP JOSEPH BOLDUC | MD | 1669460051 |
| DR. MICHAEL C. ENNIS | M.D. | 1861482663 |
| MATTHEW S HORSFIELD | MD | 1013998129 |
| DR. JEREMY GOLDING | M.D. | 1407838378 |
| DR. JASEN W GUNDERSEN | M.D. | 1881677789 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.