Shah, Dhiraj M

Shah, Dhiraj M is an individual health care provider with primary practice located at 391 Myrtle Ave., Suite 5 The Vascular Group, Pllc, Albany NY 12208-3412. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Shah, Dhiraj M can be contacted via phone (518) 262-5640.

Contact Information

Primary practice address
391 Myrtle Ave., Suite 5 The Vascular Group, Pllc Albany NY 12208-3412
Phone: (518) 262-5640
Fax: (518) 262-9413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 119380 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 119380 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 119380 New York

Profile Details

NPI number 1558351700
LBN Legal business name Shah, Dhiraj M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 21st, 2022 - about 2 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 1558351700 NPPES
New York Other 00N60410 MEDICARE DOWN STATE
New York MEDICAID 00567175 MEDICARE DOWN STATE

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