Shah, Melissa D

Shah, Melissa D is an individual health care provider with primary practice located at 117 Marys Ave Suite 202, Kingston NY 12401-5849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Shah, Melissa D can be contacted via phone (845) 338-1992.

Contact Information

Primary practice address
117 Marys Ave Suite 202 Kingston NY 12401-5849
Phone: (845) 338-1992
Fax: (845) 338-1614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 60 265648 New York

Profile Details

NPI number 1144474511
LBN Legal business name Shah, Melissa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144474511 NPPES
New York MEDICAID 03516823

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