IndividualActive
Shivkumar Jha, MD
NPI 1881751204 · Geriatric Psychiatry Physician · Lexington, MA
Provider details
- NPI number
- 1881751204
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 230640 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
23 Wyman Rd
Lexington, MA 02420-3237
Phone: (617) 817-6041
Approximate (ZIP-level) locationGet directions
Mailing address
23 Wyman Rd
Lexington, MA 02420-3237
Additional practice locations (1)
- 123 Girard Blvd SeAlbuquerque, NM 87106-2227Phone: (617) 817-6041
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.