Individual
DR. MANISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101245248
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
266248
NY
207V00000X
Obstetrics & Gynecology Physician
57.010801
OH
207V00000X
Obstetrics & Gynecology Physician
MD444517
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE PIN
NY
Enumeration date
06/19/2007
Last updated
10/02/2024
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