Shah, Gopal

Shah, Gopal is an sole proprietor health care provider with primary practice located at 33 Delaware St , Port Jervis NY 12771-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Gopal can be contacted via phone (845) 856-5765.

Contact Information

Primary practice address
33 Delaware St Port Jervis NY 12771-1805
Phone: (845) 856-5765
Fax: (845) 856-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 158750 New York

Profile Details

NPI number 1023025798
LBN Legal business name Shah, Gopal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Dec 18th, 2019 - about 5 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 1023025798 NPPES
New York Other 33936 AETNA HEALTH CARE
New York Other 117350 AETNA HEALTH CARE
New York Other 632227 AETNA HEALTH CARE
New York Other 141692539 AETNA HEALTH CARE
New York Other 010158750NY01 AETNA HEALTH CARE
New York Other P480818 AETNA HEALTH CARE
New York MEDICAID 1573920 AETNA HEALTH CARE
New York Other 72D011 AETNA HEALTH CARE
New York Other 14162 AETNA HEALTH CARE
New York MEDICAID 01009067 AETNA HEALTH CARE
New York Other 141692539 AETNA HEALTH CARE

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