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Individual

DR. GURURAJ SHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5026
Mailing address
20 MOHAWK DR, RAMSEY, NJ 07446-1037
(201) 230-5854

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
303935
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
04/11/2022
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