Organization
DEV SHAH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEV VIKRAM SHAH MD (ATTENDING)
(845) 661-2074
Entity
Organization
Contact information
Practice address
7 S MADISON AVE, SPRING VALLEY, NY 10977-5539
(845) 661-2074
Mailing address
86 S TYSON AVE APT 2C, FLORAL PARK, NY 11001-1833
(845) 661-2074
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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