Individual
ANITA CHATLANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, STE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND STREET, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 353-5600
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2156351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057864
GHI HMO
—
01
—
015AE1
BC BS EMPIRE
—
05
—
02200755
—
NY
01
—
040426012111
FIDELIS MEDICAID HMO
—
01
—
0890100002
CIGNA HMO POS
—
01
—
0D2175
HEALTHNET OF THE NORTH EA
—
01
—
132995699
HUDSON HEALTH PLAN
—
01
—
215635
LICENSE NUMBER
—
01
—
2594362
GHI
—
01
—
45022P
HIP
—
Enumeration date
09/07/2005
Last updated
01/03/2019
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