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Individual
SHIVANI S SHAH
Active
Individual
SHIVANI S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
292168
NY
2080A0000X
Pediatric Adolescent Medicine Physician
292168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292168
NY STATE
NY
Enumeration date
02/11/2013
Last updated
07/18/2018
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