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Organization
SHAH MEDICAL GROUP LLP
Active
Organization
SHAH MEDICAL GROUP LLP
Active
Other names
Surendra and Mrudula Shah
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRALAL G. SHAH MD (MD)
(516) 822-4706
Entity
Organization
Contact information
Practice address
528 OLD COUNTRY ROAD, PLAINVIEW, NY 11803-4997
(516) 822-4706
(516) 822-1373
Mailing address
528 OLD COUNTRY ROAD, PLAINVIEW, NY 11803-4997
(516) 822-4706
(516) 822-1373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
133617
NY
207R00000X
Internal Medicine Physician
144360
NY
207RH0003X
Hematology & Oncology Physician
Primary
143360
NY
207RN0300X
Nephrology Physician
133617
NY
Other
Enumeration date
09/27/2006
Last updated
10/12/2010
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