Individual
CHANDRAVADEN C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 BELLAMY LOOP, BRONX, NY 10475-3702
(718) 671-6600
(718) 671-6600
Mailing address
140 BELLAMY LOOP, BRONX, NY 10475-3702
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
113774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000207694
—
NY
01
—
2599923
GHI
NY
Enumeration date
11/13/2006
Last updated
09/23/2008
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