Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 220150 | NY |
N | 208600000X | Surgeon | 220150 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 220150 | NY |
NPI | 1003851379 |
---|---|
Provider Name | Rohit Shahani |
First Address | Lagrangeville, NY 12540-5108 |
Second Address | Poughkeepsie, NY 12601-3923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 29/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02755791 | (05) | NY |
G33166 | (02) |