Individual
DHARA B SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3003 NEW HYDE PARK RD STE 312, NEW HYDE PARK, NY 11042-1214
(866) 322-7691
Mailing address
3003 NEW HYDE PARK RD STE 312, NEW HYDE PARK, NY 11042-1214
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007245
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
04/08/2023
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