Provider Demographics
NPI:1104708007
Name:AFRAH SHIBU, FNU (MD)
Entity type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:AFRAH SHIBU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 MASSACHUSETTS AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4053
Mailing Address - Country:US
Mailing Address - Phone:617-816-1469
Mailing Address - Fax:
Practice Address - Street 1:85 EAST CONCORD ST
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY, 1ST FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-638-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA30187752084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology