# SHAH MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437451150
- **Authorized official:** NOOR M SHAH M.D. (PRESIDENT)
- **Authorized official phone:** (716) 891-5991

## Contact information

- **Practice address:** 2695 HARLEM RD, CHEEKTOWAGA, NY 14225-4021
- **Practice address phone:** (716) 891-5991
- **Practice address fax:** (716) 891-5993
- **Mailing address:** 2695 HARLEM RD, CHEEKTOWAGA, NY 14225-4021
- **Mailing address phone:** (716) 891-5991
- **Mailing address fax:** (716) 891-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 137655 | NY | Yes |

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 12/01/2010