Individual
DR. ANISH KUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1070 WALTON AVE APT 3, BRONX, NY 10452-8964
(718) 521-9479
Mailing address
1070 WALTON AVE APT 3, BRONX, NY 10452-8964
(718) 521-9479
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/26/2021
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