Individual
DR. NIMESH KESHARICHARD SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20507 HILLSIDE AVE STE 12, HOLLIS, NY 11423
(718) 464-6700
(718) 464-8100
Mailing address
20507 HILLSIDE AVE STE 12, HOLLIS, NY 11423-2220
(718) 464-6700
(718) 334-3432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232109
NY
207RN0300X
Nephrology Physician
Primary
232109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/17/2006
Last updated
04/09/2021
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