Individual
ROSHAN P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, 2ND FLOOR, NEW YORK, NY 10032-3729
(212) 305-4626
(212) 305-6193
Mailing address
622 W 168TH ST, PH-11, NEW YORK, NY 10032-3720
(212) 305-4626
(212) 305-6193
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MT191034
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036132317
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
276552
NY
Other
Enumeration date
07/05/2007
Last updated
04/09/2023
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