Organization
ENDOCRINE TECHNOLOGY, LLC
Active
Parent organization
KUMAR SHAH, M.D.
Other names
Kumar Shah, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KUMAR SHAH, M.D.
Authorized official
DR. KUMARPAL AMBALAL SHAH M.D. (PRESIDENT)
(347) 302-3107
Entity
Organization
Contact information
Practice address
230 HILTON AVE, SUITE 17, HEMPSTEAD, NY 11550-8115
(347) 302-3107
(718) 222-1350
Mailing address
230 HILTON AVE, SUITE 17, HEMPSTEAD, NY 11550-8180
(347) 302-3107
(718) 222-1350
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
139486
NY
261QH0100X
Health Service Clinic/Center
139486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770576
—
NY
01
—
011549885
MAGNACARE
NY
01
—
100901000078
FIDELIS
NY
01
—
1093995524
GHI
NY
01
—
112009
EMPIRE
NY
01
—
139486
HIP
NY
01
—
193525
ELDERPLAN
NY
01
—
340290101
HEALTH FIRST
NY
01
—
67A031
BLUESHIELD
NY
01
—
996181
NEIGHOURHOOD PLAN
NY
01
—
N214201
WELLCARE
NY
01
—
P00106364
MEDICARE RAILROAD
NY
01
—
P2090111
OXFORD
NY
Enumeration date
02/22/2016
Last updated
02/22/2016
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