Individual
ANISH A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577-2042
(800) 633-8446
Mailing address
125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577-2042
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020-03340
NC
Other
Enumeration date
04/17/2015
Last updated
07/25/2022
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