Individual
AMI ANAND SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
236 E 82ND ST APT 1F, NEW YORK, NY 10028-2798
(917) 822-7424
Mailing address
524 E 72ND ST APT 41DE, NEW YORK, NY 10021-9806
(917) 822-7424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
Enumeration date
09/26/2006
Last updated
01/18/2023
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