Organization
D.K SHAH MD PC
Active
Other names
GRAND STREET MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMJAD KHAN (BILLING MANAGER)
(845) 338-1535
Entity
Organization
Contact information
Practice address
368 BROADWAY, MEDICAL ARTS BUILDING , SUITE301, KINGSTON, NY 12401-5144
(845) 338-1535
(845) 338-9879
Mailing address
368 BROADWAY, MEDICAL ARTS BUILDING , SUITE301, KINGSTON, NY 12401-5144
(845) 338-1535
(845) 338-9879
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
252903-1
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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