Individual
MR. MAHESH CHIMANLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
607 FULTON AVENUE, HEMPSTEAD, NY 11550
(516) 489-4120
(516) 489-4120
Mailing address
607 FULTON AVENUE, HEMPSTEAD, NY 11550
(516) 489-4120
(516) 489-4120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00732687
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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