Individual
DR. AMIT MAHESH SHELAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21 HOLIDAY POND RD, JERICHO, NY 11753-1154
(516) 822-3917
(516) 932-0241
Mailing address
21 HOLIDAY POND RD, JERICHO, NY 11753-1154
(516) 822-3917
(516) 932-0241
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
238794
NY
2084N0600X
Clinical Neurophysiology Physician
238794
NY
2084N0600X
Clinical Neurophysiology Physician
34.013473
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03052348
—
NY
01
—
34.013473
MEDICAL LICENSE NUMBER
OH
Enumeration date
02/11/2008
Last updated
07/11/2025
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