Individual
KUMARPAL AMBALAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 RIDGE RD, ALBERTSON, NY 11507-1010
(718) 222-1065
(718) 222-1350
Mailing address
326 LIVINGSTON ST, A, BROOKLYN, NY 11217-1002
(718) 222-1065
(718) 222-1350
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
139486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021517
GHI
NY
05
—
00770576
—
NY
01
—
139486
NY LICENSE NO
NY
01
—
139486 B21
HEALTH FIRST
NY
01
—
139486 NY
1199
NY
01
—
26121
UNITED HEALTH
NY
01
—
340290101, IM
HEALTH PLUS
NY
01
—
340300201 END
HEALTH FIRST
NY
01
—
6635785002
CIGNA
NY
01
—
67A03
BLUE SHIELD
NY
01
—
67A031
MEDICARE ID
NY
01
—
P00106064
MEDICARE RAIL RD
NY
01
—
P2090111
OXFORD
NY
Enumeration date
11/13/2007
Last updated
03/07/2023
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