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Organization
AMIT R SHAH VASCUAR SURGERY PLLC
Active
Organization
AMIT R SHAH VASCUAR SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT RAHENDRA SHAH MD (OWNER)
(718) 439-5111
Entity
Organization
Contact information
Practice address
7404 5TH AVE, BROOKLYN, NY 11209-2704
(718) 439-5111
(516) 301-5939
Mailing address
2 EVANS DR, GLEN HEAD, NY 11545-3145
(718) 439-5111
(516) 301-5939
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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