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Individual

DR. AJAY K SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1685 MORRIS AVENUE, BRONX, NY 10457
(718) 960-1250
(718) 960-1230
Mailing address
1650 SELWYN AVENUE, SUITE # 4-G, BRONX, NY 10457-7628
(718) 960-1250
(718) 960-1230

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
176519
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01277063
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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