Shah, Nimesh Kesharichard

Shah, Nimesh Kesharichard is an individual health care provider with primary practice located at 20507 Hillside Ave Ste 12 , Hollis NY 11423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shah, Nimesh Kesharichard can be contacted via phone (718) 464-6700.

Contact Information

Primary practice address
20507 Hillside Ave Ste 12 Hollis NY 11423
Phone: (718) 464-6700
Fax: (718) 464-8100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232109 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 232109 New York

Profile Details

NPI number 1871674051
LBN Legal business name Shah, Nimesh Kesharichard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 9th, 2021 - about 4 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 1871674051 NPPES
New York MEDICAID 00246075

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