Individual
DR. MINAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 COACHMAN PLACE WEST, SYOSSET, NY 11791-3052
(516) 477-0008
(516) 677-0107
Mailing address
PO BOX 947, SYOSSET, NY 11791-0079
(516) 477-0008
(516) 677-0107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
189767
NY
207R00000X
Internal Medicine Physician
189767
NY
208D00000X
General Practice Physician
Primary
189767
NY
208M00000X
Hospitalist Physician
189767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01347960
—
NY
Enumeration date
01/17/2006
Last updated
01/04/2017
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