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SHAH MEDICAL GROUP LLP NPI 1194816397


NPI Information

NPI: 1194816397
Provider Name: SHAH MEDICAL GROUP LLP

Doing Business As: SURENDRA AND MRUDULA SHAH

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
528 OLD COUNTRY ROAD
PLAINVIEW, NY
ZIP 11803
Phone: (516) 822-4706
Get Directions

SHAH MEDICAL GROUP LLP is a hematology and oncology internal medicine in Plainview, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SHAH MEDICAL GROUP LLP NPI is 1194816397. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surendra And Mrudula Shah.

The provider's business location address is:

528 OLD COUNTRY ROAD
PLAINVIEW, NY
ZIP 11803-997
Phone: (516) 822-4706
Fax: (516) 822-1373

The provider's authorized official is Surendralal G. Shah .
The authorized official title is Md and has the following contact phone number (516) 822-4706.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 10/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine144360NEW YORKNo
2207R00000XInternal Medicine133617NEW YORKNo
3207RN0300XInternal MedicineNephrology133617NEW YORKNo
4207RH0003XInternal MedicineHematology & Oncology143360NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W19081MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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