Individual
NOOR M SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2695 HARLEM ROAD, CHEEKTOWAGA, NY 14225-4021
(716) 891-5991
(716) 891-5993
Mailing address
2695 HARLEM ROAD, CHEEKTOWAGA, NY 14225-4021
(716) 891-5991
(716) 891-5993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
137655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010162701
UNIVERA
NY
01
—
0003214
GHI
—
01
—
000508487001
BC
NY
05
—
00714865
—
NY
01
—
0700562
IHA
NY
01
—
5084871
CB
NY
01
—
N5084871
BS
NY
Enumeration date
06/15/2006
Last updated
07/08/2007
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