Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 139486 | NY |
NPI | 1093995524 |
---|---|
Provider Name | Kumarpal Ambalal Shah |
First Address | Brooklyn, NY 11217-1002 |
Second Address | Albertson, NY 11507-1010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2007 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0021517 | GHI (01) | NY |
00770576 | (05) | NY |
139486 | HIP (01) | NY |
139486 | NY LICENSE NO (01) | NY |
139486 B21 | HEALTH FIRST (01) | NY |
139486 NY | 1199 (01) | NY |
26121 | UNITED HEALTH (01) | NY |
340290101, IM | HEALTH PLUS (01) | NY |
340300201 END | HEALTH FIRST (01) | NY |
6635785002 | CIGNA (01) | NY |
67A03 | BLUE SHIELD (01) | NY |
67A031 | MEDICARE ID (01) | NY |
AS 1638139 | NY DEA NO (01) | NY |
D34148 | (02) | NY |
P00106064 | MEDICARE RAIL RD (01) | NY |
P2090111 | OXFORD (01) | NY |