Shah, Kumudini

Shah, Kumudini is an sole proprietor health care provider with primary practice located at 455 E Bay Dr , Long Beach NY 11561-2301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Shah, Kumudini can be contacted via phone (516) 897-1408.

Contact Information

Primary practice address
455 E Bay Dr Long Beach NY 11561-2301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 148471-1 New York

Profile Details

NPI number 1528147378
LBN Legal business name Shah, Kumudini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528147378 NPPES
New York Other 148471-1 NYS LICENSE NUBMER

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