Shah, Jitendra A
Shah, Jitendra A is an sole proprietor health care provider with primary practice located at 504 Medford Ave , Patchogue NY 11772-1321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Jitendra A can be contacted via phone (631) 475-4646.Contact Information
Primary practice address
504 Medford Ave
Patchogue NY 11772-1321
Phone: (631) 475-4646
Fax: (631) 447-5234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 124768-1 | New York |
Profile Details
| NPI number | 1487727996 |
|---|---|
| LBN Legal business name | Shah, Jitendra A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 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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