# KUMAR SHAH MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KUMARPAL SHAH MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811033889
- **Authorized official:** MR. KUMARPAL A SHAH MD (PHYSICIAN IN PRACTICE)
- **Authorized official phone:** (718) 222-1065

## Contact information

- **Practice address:** 304 LIVINGSTON ST, APT 2B, BROOKLYN, NY 11217-1034
- **Practice address phone:** (718) 222-1065
- **Practice address fax:** (215) 261-1529
- **Mailing address:** 304 LIVINGSTON ST, APT 2B, BROOKLYN, NY 11217-1034
- **Mailing address phone:** (718) 222-1065
- **Mailing address fax:** (215) 261-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 139486 | NY | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0021517 | GHI PROVIDER NO | NY |
| 05 | — | 00770576 | — | NY |
| 01 | — | 139486 | HIP PROVIDER ID NO | NY |
| 01 | — | 139486 B21 | HEALTHFIRST PROVIDER ID | NY |
| 01 | — | 6635785002 | CIGNA | NY |
| 01 | — | 67A03 | BLUE SHELD PROVIDER NO | NY |
| 01 | — | P2090111 | OXFORD | NY |