Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 297390 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 297390 | NY |
NPI | 1770845851 |
---|---|
Provider Name | Dr. Aman Mayur Shah |
First Address | Roslyn, NY 11576-1347 |
Second Address | Roslyn, NY 11576-1347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 02/11/2020 |