Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 259045 | NY |
N | 111NI0900X | Internist | 259045 | NY |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 259045 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 259045 | NY |
NPI | 1003040254 |
---|---|
Provider Name | Samit Shah |
First Address | Stamford, CT 06901-3382 |
Second Address | Manhasset, NY 11030-3816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2009 |
Last Update Date | 22/05/2017 |