Individual
SHUBHA SHASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
370 E RIDGE RD, ROCHESTER, NY 14621-1240
(585) 922-0400
Mailing address
370 E RIDGE RD, SUITE 20, ROCHESTER, NY 14621-1240
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
267196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03725091
—
NY
Enumeration date
05/12/2012
Last updated
01/07/2014
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