Individual
FAISAL M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 836-4696
Mailing address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09086500
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
262570
NY
2085R0202X
Diagnostic Radiology Physician
443039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03472442
—
NY
01
—
390200000X
MONMOUTH
NJ
Enumeration date
07/20/2007
Last updated
08/21/2023
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