Shivani S Shah
Pediatrician Adolescent Medicine
135 Canal St Ste 200
Staten Island
, New York 10304
Shivani S Shah
Pediatrician Adolescent Medicine
135 Canal St Ste 200
Staten Island
, New York 10304
(646) 724-0532
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Shivani S Shah
- 46 Albion St
- Bridgeport, CT
- Zip : 06605-2602
- Phone : (646) 724-0532
Second Address
- Shivani S Shah
- 135 Canal St Ste 200
- Staten Island, NY
- Zip : 10304
- Phone : (917) 830-1950
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 292168 | NY |
| N | 2080A0000X | Adolescent Medicine | 292168 | NY |
National Provider Identifier
| NPI | 1245579226 |
|---|---|
| Provider Name | Shivani S Shah |
| First Address | Bridgeport, CT 06605-2602 |
| Second Address | Staten Island, NY 10304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/02/2013 |
| Last Update Date | 18/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 292168 | NY STATE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.