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Individual
DR. VIPUL L SHAH
Active
Individual
DR. VIPUL L SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001023255
MO
207R00000X
Internal Medicine Physician
248833-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
248833-1
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
248833-1
NY
208M00000X
Hospitalist Physician
036115330
IL
208M00000X
Hospitalist Physician
2001023255
MO
208M00000X
Hospitalist Physician
Primary
248833-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115330
—
IL
01
—
248833-1
NY STATE LICENSE
NY
01
—
P00354535
RAILROAD MEDICARE
—
Enumeration date
02/27/2006
Last updated
07/21/2022
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