Individual
MICHELLE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 420-2000
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB12621000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
08/04/2025
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