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Contact Information

ANISH A SHAH, MD
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY11577-2042
 Phone: 800-633-8446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANISH A SHAH · (Male)

NPI # 1770970600
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2015
Last updated 07/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2020-03340
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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