Individual
LILA MAHENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
79 01 BRAODWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
79 01 BRAODWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00207709
—
NY
Enumeration date
07/17/2006
Last updated
10/23/2007
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