Individual
DR. SHANEEL SHAILESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-2260
(845) 333-2245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
274017
NY
2084P0804X
Child & Adolescent Psychiatry Physician
274017
NY
Other
Enumeration date
07/13/2009
Last updated
12/20/2021
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