Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 269111 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | A117576 | CA |
NPI | 1023312576 |
---|---|
Provider Name | Dr. Ankit B Shah |
First Address | New York, NY 10075-1850 |
Second Address | New York, NY 10075-1850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2010 |
Last Update Date | 05/10/2021 |