Individual
KRUPA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 SOUTH AVE # 58, ROCHESTER, NY 14620-2733
(585) 341-6779
Mailing address
1000 SOUTH AVE # 58, ROCHESTER, NY 14620-2733
(585) 341-6779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6551483
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2006014589
MO
Other
Enumeration date
09/03/2006
Last updated
02/02/2009
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