Dr. Melissa D Shah
Vascular Surgeon
117 Marys Ave Suite 202
Kingston
, New York 12401-5849
Dr. Melissa D Shah
Vascular Surgeon
117 Marys Ave Suite 202
Kingston
, New York 12401-5849
(518) 262-9413
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Melissa D Shah
- 391 Myrtle Ave Ste 5
- Albany, NY
- Zip : 12208-3797
- Fax : (518) 262-9413
- Phone : (518) 262-5640
Second Address
- Dr. Melissa D Shah
- 117 Marys Ave Suite 202
- Kingston, NY
- Zip : 12401-5849
- Fax : (845) 338-1614
- Phone : (845) 338-1992
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 60 265648 | NY |
National Provider Identifier
| NPI | 1144474511 |
|---|---|
| Provider Name | Dr. Melissa D Shah |
| First Address | Albany, NY 12208-3797 |
| Second Address | Kingston, NY 12401-5849 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2008 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03516823 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.