Organization
BHADRA SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHADRA B SHAH MD (PRESIDENT)
(212) 777-3920
Entity
Organization
Contact information
Practice address
303 SECOND AVE, SUITE 9, NEW YORK, NY 10003-2746
(212) 777-3920
(212) 614-9376
Mailing address
303 SECOND AVE, SUITE 9, NEW YORK, NY 10003-2746
(212) 777-3920
(212) 614-9376
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
111592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002011343
—
NY
Enumeration date
07/06/2007
Last updated
09/07/2011
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