# KUMARPAL AMBALAL SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093995524
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 139486 | NY | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0021517 | GHI | NY |
| 05 | — | 00770576 | — | NY |
| 01 | — | 139486 | NY LICENSE NO | NY |
| 01 | — | 139486 B21 | HEALTH FIRST | NY |
| 01 | — | 139486 NY | 1199 | NY |
| 01 | — | 26121 | UNITED HEALTH | NY |
| 01 | — | 340290101, IM | HEALTH PLUS | NY |
| 01 | — | 340300201 END | HEALTH FIRST | NY |
| 01 | — | 6635785002 | CIGNA | NY |
| 01 | — | 67A03 | BLUE SHIELD | NY |
| 01 | — | 67A031 | MEDICARE ID | NY |
| 01 | — | P00106064 | MEDICARE RAIL RD | NY |
| 01 | — | P2090111 | OXFORD | NY |