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Individual

RAHUL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-5218
(212) 932-5458
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(129) 325-2182
(212) 932-5258

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292746
NY
208M00000X
Hospitalist Physician
Primary
292746
NY

Other

Enumeration date
04/10/2015
Last updated
05/02/2018
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