Individual
DR. VIPUL L SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-6027
Mailing address
234 E 149TH ST STE 8D200, BRONX, NY 10451-5504
(718) 579-6027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001023255
MO
207R00000X
Internal Medicine Physician
248833-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
248833-1
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
248833-1
NY
208M00000X
Hospitalist Physician
036115330
IL
208M00000X
Hospitalist Physician
2001023255
MO
208M00000X
Hospitalist Physician
Primary
248833-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115330
—
IL
01
—
248833-1
NY STATE LICENSE
NY
01
—
P00354535
RAILROAD MEDICARE
—
Enumeration date
02/27/2006
Last updated
07/21/2022
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