Rajiv S Shah Physician P C

NPI #1457428559 in Malone, New York

Provider Information

NPI Number
1457428559
Entity Type
Organization
Organization Name
Rajiv S Shah Physician P C
Primary Specialty
Internal Medicine
Enumeration Date
Nov 30, 2006
Last Updated
Nov 23, 2007

Practice Location

Address
5 CLAY ST
City
Malone
ZIP Code
12953-1905
Phone
(518) 483-0705

Authorized Official

Name
RAJIV SHAH, MD
Title
SOLE MEMBER
Phone
(518) 483-0705

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology
Internal Medicine

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