Individual
NEERAV SANJAY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601
(845) 454-8500
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9661
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
290855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04871849
—
NY
Enumeration date
04/10/2012
Last updated
07/24/2018
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