Organization
SHAH MEDICAL GROUP LLP
Active
Other names
Surendra and Mrudula Shah
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRALAL G. SHAH MD (MD)
(516) 822-4706
Entity
Organization
Contact information
Practice address
528 OLD COUNTRY ROAD, PLAINVIEW, NY 11803-4997
(516) 822-4706
(516) 822-1373
Mailing address
528 OLD COUNTRY ROAD, PLAINVIEW, NY 11803-4997
(516) 822-4706
(516) 822-1373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
133617
NY
207R00000X
Internal Medicine Physician
144360
NY
207RH0003X
Hematology & Oncology Physician
Primary
143360
NY
207RN0300X
Nephrology Physician
133617
NY
Other
Enumeration date
09/27/2006
Last updated
10/12/2010
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