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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
368 BROADWAY, MEDICAL ARTS BUILDING , SUITE301, KINGSTON, NY 12401-5144
(845) 338-1535
(845) 338-9879
Mailing address
368 BROADWAY, MEDICAL ARTS BUILDING , SUITE301, KINGSTON, NY 12401-5144
(845) 338-1535
(845) 338-9879
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
252903-1
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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