Individual
SHIVANG SATISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.PHIL.
Contact information
Practice address
622 W 168TH ST, PH4W-474, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
622 W 168TH ST, PH4W-474, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
283618
NY
Other
Enumeration date
03/22/2013
Last updated
11/01/2016
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