Individual provider · Type 1 NPI

Lisetta D. Shah, MD

Family Medicine Physician · Worcester, MA

NPI number 1205221900 Active

Practice location

5 Neponset Street
Worcester, MA 01606-2714

Map

Mailing address

5 Neponset St Fl CENTER12
Worcester, MA 01606-2714

Other practice locations

  • 5 Neponset Street, Worcester, MA 01606-2714
  • 151 Worcester Rd, Barre, MA 01005-9002 · (978) 355-9222
  • 19 Tacoma St, Worcester, MA 01605 · (508) 852-1805
  • 5 Neponset St, Worcester, MA 01606-2714
  • 5 Neponset St, Worcester, MA 01606-2714
  • 5 Neponset St, Worcester, MA 01606-2714 · (508) 425-5566
  • 5 Neponset St, Worcester, MA 01606-2714 · (508) 425-5566

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X273416 (MA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1205221900

Lisetta D. Shah, MD's National Provider Identifier is 1205221900, issued on Mar 31, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Worcester, MA. The record was last updated on Jun 24, 2025.