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Individual

ARUN P. SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 VESTAL PKWY E, SUITE #102, VESTAL, NY 13850-1830
(607) 786-0435
(607) 786-0435
Mailing address
PO BOX 947, VESTAL, NY 13851-0947
(607) 786-0435
(607) 786-0435

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
180126
NY
2084P0800X
Psychiatry Physician
Primary
180126
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01429890
NY
Enumeration date
03/08/2006
Last updated
06/08/2011
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