Individual
DR. JASON SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1347
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1347
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
338366
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2022
Last updated
07/24/2025
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