Organization
BAKHTIAR SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAKHTIAR SHAH M.D. (PRESIDENT)
(718) 815-1000
Entity
Organization
Contact information
Practice address
130 AVENUE P, BROOKLYN, NY 11204-6362
(718) 815-1000
Mailing address
302 MANOR RD, STATEN ISLAND, NY 10314-2408
(718) 815-1000
(718) 815-8122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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