Individual
SYED FAWAD HUSSAIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 624-6100
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
311034
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
02/26/2026
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