Organization
MUKESH D. SHAH, OB-GYN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH DHIRAJLAL SHAH M.D. (OWNER / PRESIDENT)
(315) 724-4017
Entity
Organization
Contact information
Practice address
1656 CHAMPLIN AVE, SUITE # 224, UTICA, NY 13502-4830
(315) 724-4017
(315) 793-3689
Mailing address
1656 CHAMPLIN AVE, SUITE # 224, UTICA, NY 13502-4830
(315) 724-4017
(315) 793-3689
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
165131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00796901
—
NY
01
—
AA0180
MEDICARE GROUP
NY
Enumeration date
12/18/2007
Last updated
12/18/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us