Shah, Indravadan C

Shah, Indravadan C is an sole proprietor health care provider with primary practice located at 454 E Shore Rd , Great Neck NY 11024-1540. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shah, Indravadan C can be contacted via phone (516) 487-3924.

Contact Information

Primary practice address
454 E Shore Rd Great Neck NY 11024-1540
Phone: (516) 487-3924
Fax: (516) 487-3924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 110048 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 110048 New York

Profile Details

NPI number 1467537746
LBN Legal business name Shah, Indravadan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 17 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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