DR. Jitendra A Shah, M.D.

NPI #1487727996 in Patchogue, New York

Provider Information

NPI Number
1487727996
Entity Type
Individual
Name
DR. Jitendra A Shah, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Nov 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
504 MEDFORD AVE
ZIP Code
11772-1321
Phone
(631) 475-4646

Specialties & Taxonomy Codes

Specialty
Family Medicine

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