Individual
DR. MITANSHU SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 670-5000
Mailing address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
287722
NY
Other
Enumeration date
07/19/2010
Last updated
01/26/2018
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