Individual
DR. BHADRA B SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 SECOND AVE, SUITE 9, NEW YORK, NY 10003-2746
(212) 777-3920
(212) 614-9376
Mailing address
303 SECOND AVE, SUITE 9, NEW YORK, NY 10003-2746
(212) 777-3920
(212) 614-9376
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
111592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002011343
—
NY
01
—
964431
BCBS
NY
Enumeration date
01/20/2006
Last updated
10/19/2011
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