Organization
D.K. SHAH MD, P.C.
Active
Other names
GRAND STREET MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSHANTKUMAR K SHAH M.D. (PRESIDENT / CEO)
(845) 338-1535
Entity
Organization
Contact information
Practice address
27 GRAND ST, KINGSTON, NY 12401-3933
(845) 338-1535
(845) 334-9879
Mailing address
27 GRAND ST, KINGSTON, NY 12401-3933
(845) 338-1535
(845) 334-9879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
04/17/2006
Last updated
01/17/2008
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