Organization
KUMAR SHAH MD
Active
Other names
KUMARPAL SHAH MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUMARPAL A SHAH MD (PHYSICIAN IN PRACTICE)
(718) 222-1065
Entity
Organization
Contact information
Practice address
304 LIVINGSTON ST, APT 2B, BROOKLYN, NY 11217-1034
(718) 222-1065
(215) 261-1529
Mailing address
304 LIVINGSTON ST, APT 2B, BROOKLYN, NY 11217-1034
(718) 222-1065
(215) 261-1529
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
139486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021517
GHI PROVIDER NO
NY
05
—
00770576
—
NY
01
—
139486
HIP PROVIDER ID NO
NY
01
—
139486 B21
HEALTHFIRST PROVIDER ID
NY
01
—
6635785002
CIGNA
NY
01
—
67A03
BLUE SHELD PROVIDER NO
NY
01
—
P2090111
OXFORD
NY
Enumeration date
01/29/2007
Last updated
04/20/2008
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