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Organization

D.K SHAH MD PC

Active
Other names
GRAND STREET MEDICAL ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AMJAD KHAN (BILLING MANAGER)
(845) 338-1535
Entity
Organization

Contact information

Practice address
39 GRAND ST, GRAND STREET ONCOLOGY, KINGSTON, NY 12401-3933
(845) 334-9920
(845) 334-9894
Mailing address
39 GRAND ST, GRAND STREET ONCOLOGY, KINGSTON, NY 12401-3933
(845) 334-9920
(845) 334-9894

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
123071-1
NY

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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