Individual
PURAV CHETAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 W 59TH ST APT 5P, NEW YORK, NY 10019-1264
(201) 660-5935
Mailing address
515 W 59TH ST APT 5P, NEW YORK, NY 10019-1264
(201) 660-5935
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
86077
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2014
Last updated
09/24/2020
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