Organization
MAHESH SHAH DENTIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHESH CHIMANLAL SHAH DDS (PRESIDENT)
(516) 489-4120
Entity
Organization
Contact information
Practice address
607 FULTON AVENUE, HEMPSTEAD, NY 11550
(516) 489-4120
(516) 489-4120
Mailing address
607 FULTON AVENUE, HEMPSTEAD, NY 11550
(516) 489-4120
(516) 489-4120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00732687
—
NY
Enumeration date
10/05/2006
Last updated
08/22/2020
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