Individual
MRS. KISHORI P SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
354 MAIN ST, POUGHKEEPSIE, NY 12601-3317
(845) 486-0420
(845) 486-9444
Mailing address
354 MAIN ST, POUGHKEEPSIE, NY 12601-3317
(845) 486-0420
(845) 486-9444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01713813
—
NY
01
—
087220
MVP
NY
01
—
100146373401
UNITED HEALTHCARE
NY
01
—
10068286
CDPHP
NY
01
—
2085557
AETNA
NY
01
—
21997
HUDSON HEALTH PLAN
NY
01
—
43852
GHI/HMO
NY
01
—
4C1782
HEALTHNET
NY
01
—
5901827
GHI/PPO
NY
01
—
75X881
EMPIRE BC/BS
NY
01
—
P874375
OXFORD
NY
Enumeration date
10/24/2006
Last updated
09/06/2023
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