Individual
DR. DHIRAJLAL M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 STATE ROUTE 209, WURTSBORO, NY 12790-0207
(845) 888-2200
(845) 888-4202
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
145307
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00605523
—
NY
Enumeration date
11/07/2005
Last updated
12/19/2012
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