Organization
D.K SHAH MD PC
Active
Other names
GRAND STREET MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMJAD KHAN (BILLING MANAGER)
(845) 338-1535
Entity
Organization
Contact information
Practice address
33 GRAND ST, GRAND STREET GASTROENTEROLOGY, KINGSTON, NY 12401-3933
(845) 338-2300
(845) 338-9711
Mailing address
33 GRAND ST, GRAND STREET GASTROENTEROLOGY, KINGSTON, NY 12401-3933
(845) 338-2300
(845) 338-9711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
002092-1
NY
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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