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Individual

DR. DUSHANTKUMAR K SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27 GRAND ST, KINGSTON, NY 12401-3933
(845) 338-1535
(845) 334-9879
Mailing address
461 COUNTRY CLUB LN, KINGSTON, NY 12401-8610

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
147371-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00683963
NY
Enumeration date
04/19/2006
Last updated
05/22/2014
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