Individual
DR. SANJIV S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7680
(212) 238-7009
Mailing address
227 MADISON ST RM 1249, NEW YORK, NY 10002-7537
(212) 238-7680
(212) 238-7009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205541
NY
207RI0200X
Infectious Disease Physician
Primary
205541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01863643
—
NY
Enumeration date
01/24/2006
Last updated
10/23/2019
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