Individual
RITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
Mailing address
3011 21ST ST APT 5D, ASTORIA, NY 11102-2873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248993
NY
207R00000X
Internal Medicine Physician
57163
KY
208M00000X
Hospitalist Physician
Primary
248993
NY
Other
Enumeration date
06/30/2008
Last updated
04/09/2025
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