Individual
SHETAL AMIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 665-2455
(631) 665-1363
Mailing address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 665-2455
(631) 665-1363
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
258433
NY
207W00000X
Ophthalmology Physician
P5723
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2010
Last updated
02/14/2025
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