Individual
DR. TAJAMMUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
(631) 968-3716
Mailing address
15 ROLLING HILL DRIVE, PATCHOGUE, NY 11772-6512
(908) 307-4371
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
261269
NY
Other
Enumeration date
07/24/2009
Last updated
06/24/2017
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