Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301098648 | MI |
NPI | 1225323231 |
---|---|
Provider Name | Muhammad Shah |
First Address | Yonkers, NY 10710-1453 |
Second Address | Bronx, NY 10467-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 10/11/2017 |