Individual
ATIN KUMAR SHAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4307
(516) 262-6096
Mailing address
14654 107TH AVE FL 1, JAMAICA, NY 11435-5242
(929) 303-9109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P115386
NY
Other
Enumeration date
05/18/2020
Last updated
07/11/2022
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