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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
27 GRAND ST, KINGSTON, NY 12401-3933
(845) 338-1535
(845) 338-9879
Mailing address
27 GRAND ST, KINGSTON, NY 12401-3933
(845) 338-1535
(845) 338-9879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
154954
NY
207Q00000X
Family Medicine Physician
208411-1
NY
207Q00000X
Family Medicine Physician
233816-1
NY
207Q00000X
Family Medicine Physician
238100-1
NY
207Q00000X
Family Medicine Physician
238102-1
NY
207RG0100X
Gastroenterology Physician
002092-1
NY
207RH0003X
Hematology & Oncology Physician
Primary
123071-1
NY
207RN0300X
Nephrology Physician
175032-1
NY
207RN0300X
Nephrology Physician
220158-1
NY
207RN0300X
Nephrology Physician
254731-1
NY
207RP1001X
Pulmonary Disease Physician
115320-1
NY
207RP1001X
Pulmonary Disease Physician
171395-1
NY
207W00000X
Ophthalmology Physician
116416-1
NY
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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