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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144474511 | NPPES |
| New York | MEDICAID | 03516823 |
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