Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 230043 | NY |
NPI | 1649294331 |
---|---|
Provider Name | Nikhil B. Shah |
First Address | New York, NY 10022-6102 |
Second Address | New York, NY 10021-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |