Individual
ANILKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8108 252ND ST, BELLEROSE, NY 11426-2530
(718) 470-9675
Mailing address
8108 252ND ST, BELLEROSE, NY 11426-2530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
152682
NY
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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