Shah, Bhupendra N

Shah, Bhupendra N is an sole proprietor health care provider with primary practice located at 739 Avenue Y , Brooklyn NY 11235-6126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shah, Bhupendra N can be contacted via phone (718) 891-6060.

Contact Information

Primary practice address
739 Avenue Y Brooklyn NY 11235-6126
Phone: (718) 891-6060
Fax: (718) 891-8210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 129773 New York

Profile Details

NPI number 1104911957
LBN Legal business name Shah, Bhupendra N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Feb 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104911957 NPPES
New York MEDICAID 00581728

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