Individual
SUMERA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 10TH ST, NIAGARA FALLS MEMORIAL MEDICAL CENTER, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
PO BOX 1708, AMHERST, NY 14226-7708
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
256681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236808
—
NY
Enumeration date
05/12/2010
Last updated
02/15/2011
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