Individual
DR. KIRAN DAMODAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1901 1ST AVE, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10029-7404
(212) 423-6228
Mailing address
6 SARATOGA CT, NANUET, NY 10954-3112
(845) 627-7032
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
165396
NY
Other
Enumeration date
11/12/2006
Last updated
10/31/2024
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