Individual
DR. JITENDRA CHIMANLAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8502 FORT HAMILTON PKWY, BROOKLYN, NY 11209-4865
(917) 748-2299
Mailing address
6 HOLSMAN RD, STATEN ISLAND, NY 10301-4427
(917) 748-2299
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
138990
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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