DR. Panna Shah, M.D.

NPI #1003989492 in Patchogue, New York

Provider Information

NPI Number: 1003989492
Entity Type: Individual
Name: DR. Panna Shah, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 504 MEDFORD AVE
City: Patchogue
State: New York
ZIP Code: 11772-1321
Phone: (631) 475-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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