Dr. Pooja R Shah
Dermatologist
177 Main St Ste 105
Huntington
, New York 11743
Dr. Pooja R Shah
Dermatologist
177 Main St Ste 105
Huntington
, New York 11743
(631) 421-4188
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Pooja R Shah
- 177 Main St Ste 105
- Huntington, NY
- Zip : 11743-6917
- Phone : (631) 421-4188
Second Address
- Dr. Pooja R Shah
- 177 Main St Ste 105
- Huntington, NY
- Zip : 11743
- Phone : (631) 421-4188
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 298834 | NY |
National Provider Identifier
| NPI | 1003201179 |
|---|---|
| Provider Name | Dr. Pooja R Shah |
| First Address | Huntington, NY 11743-6917 |
| Second Address | Huntington, NY 11743 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2015 |
| Last Update Date | 17/01/2021 |
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.