Individual
SHAMA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST STE 260, NEW YORK, NY 10032-3720
(212) 305-2995
Mailing address
622 W 168TH ST STE 260, NEW YORK, NY 10032-3720
(212) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289545-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2014
Last updated
07/21/2022
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