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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558351700 | NPPES |
| New York | Other | 00N60410 | MEDICARE DOWN STATE |
| New York | MEDICAID | 00567175 | MEDICARE DOWN STATE |
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