Individual
ANKUR RAJU SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10012 101ST AVE, OZONE PARK, NY 11416-2609
(412) 491-7611
(917) 300-2785
Mailing address
306 GOLD ST, APT 24C, BROOKLYN, NY 11201-3038
(412) 491-7611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258269
NY
207R00000X
Internal Medicine Physician
MD427573
PA
207RC0000X
Cardiovascular Disease Physician
258269
NY
207RI0011X
Interventional Cardiology Physician
Primary
258269
NY
Other
Enumeration date
08/07/2007
Last updated
07/03/2024
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