Shah, Minal

Shah, Minal is an sole proprietor health care provider with primary practice located at 110 Coachman Place West , Syosset NY 11791-3052. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Shah, Minal can be contacted via phone (516) 477-0008.

Contact Information

Primary practice address
110 Coachman Place West Syosset NY 11791-3052
Phone: (516) 477-0008
Fax: (516) 677-0107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 189767 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 189767 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 189767 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 189767 New York

Profile Details

NPI number 1417936501
LBN Legal business name Shah, Minal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jan 4th, 2017 - about 7 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 1417936501 NPPES
New York MEDICAID 01347960

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