DR. Mahendra G. Shah, M.D.

NPI #1215020011 in Wading River, New York

Provider Information

NPI Number
1215020011
Entity Type
Individual
Name
DR. Mahendra G. Shah, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Oct 2, 2006
Last Updated
Jul 21, 2011

Practice Location

Address
1866 WADING RIVER MANOR ROAD
ZIP Code
11792
Phone
(631) 929-8787

Specialties & Taxonomy Codes

Specialty
Family Medicine

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