# D.K SHAH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRAND STREET MEDICAL ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659626489
- **Authorized official:** MR. AMJAD KHAN (BILLING MANAGER)
- **Authorized official phone:** (845) 338-1535

## Contact information

- **Practice address:** 368 BROADWAY, MEDICAL ARTS BUILDING , SUITE301, KINGSTON, NY 12401-5144
- **Practice address phone:** (845) 338-1535
- **Practice address fax:** (845) 338-9879
- **Mailing address:** 368 BROADWAY, MEDICAL ARTS BUILDING , SUITE301, KINGSTON, NY 12401-5144
- **Mailing address phone:** (845) 338-1535
- **Mailing address fax:** (845) 338-9879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 252903-1 | NY | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 07/18/2012