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Organization
D.K SHAH MD PC
Active
Organization
D.K SHAH MD PC
Active
Other names
GRAND STREET MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMJAD KHAN (BILLING MANAGER)
(845) 338-1535
Entity
Organization
Contact information
Practice address
33 GRAND ST, GRAND STREET GASTROENTEROLOGY, KINGSTON, NY 12401-3933
(845) 338-2300
(845) 338-9711
Mailing address
33 GRAND ST, GRAND STREET GASTROENTEROLOGY, KINGSTON, NY 12401-3933
(845) 338-2300
(845) 338-9711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
002092-1
NY
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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