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Individual
PARAG JITENDRA SHAH
Active
Individual
PARAG JITENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2159871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057865
GHI HMO
—
05
—
02194750
—
NY
01
—
040426012109
FIDELIS (MEDICAID HMO)
—
01
—
132995699
HORIZON HEALTHCARE OF NY
—
01
—
14S311
BC/BS EMPIRE
—
01
—
2594361
GHI
—
01
—
42026P
HIP
—
01
—
4C0821
HEALTHNET OF NORTHEAST
—
Enumeration date
09/13/2005
Last updated
10/14/2016
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