DR. Kulsoom Shah, M.D
NPI #1114920360 in Stony Brook, New York
Provider Information
- NPI Number
- 1114920360
- Entity Type
- Individual
- Name
- DR. Kulsoom Shah, M.D
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- M.D
- Enumeration Date
- May 23, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 STADIUM RD,STUDENT HEALTH CENTER,STONYBROOK UNIV
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 632-6740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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