Individual
NIRAV D SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 JEANNE DR STE 7, NEWBURGH, NY 12550-1797
(845) 465-4400
Mailing address
243 NORTH RD STE 304, POUGHKEEPSIE, NY 12601-1173
(845) 451-7251
(845) 471-7372
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2250351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735739
—
NY
Enumeration date
02/17/2006
Last updated
08/28/2019
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