Individual
SHAH ASHFAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219
(516) 606-4651
Mailing address
182 15TH ST, APT 2F, BROOKLYN, NY 11215-6734
(516) 606-4651
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2778961
NY
Other
Enumeration date
04/12/2012
Last updated
07/01/2015
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