Individual
DR. BHUPENDRA N SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
739 AVENUE Y, BROOKLYN, NY 11235-6126
(718) 891-6060
(718) 891-8210
Mailing address
739 AVENUE Y, BROOKLYN, NY 11235-6126
(718) 891-6060
(718) 891-8210
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
129773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581728
—
NY
Enumeration date
10/04/2006
Last updated
02/18/2014
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