Individual
SAPAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 TRUMANSBURG RD, ITHACA, NY 14850-1397
(607) 428-8004
Mailing address
30 MORNING GLORY LN, EDISON, NJ 08820-4428
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
300414
NY
Other
Enumeration date
04/05/2015
Last updated
06/16/2020
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