DR. Mamta A Shaha, MD
NPI #1518220334 in Great Neck, New York
Provider Information
- NPI Number
- 1518220334
- Entity Type
- Individual
- Name
- DR. Mamta A Shaha, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pediatrics
- Credential
- MD
- Enumeration Date
- Jun 18, 2012
- Last Updated
- Jun 18, 2012
Practice Location
- Address
- 12 SPLIT ROCK DR
- City
- Great Neck
- State
- New York
- ZIP Code
- 11024-1127
- Phone
- (516) 487-1852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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