Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 273588 | NY |
NPI | 1053586263 |
---|---|
Provider Name | Dr. Gunjan Lalitchandra Shah |
First Address | New York, NY 10065-6007 |
Second Address | New York, NY 10065-6007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 12/01/2017 |