Shah, Pooja R

Shah, Pooja R is an sole proprietor health care provider with primary practice located at 177 Main St Ste 105 , Huntington NY 11743. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Shah, Pooja R can be contacted via phone (631) 421-4188.

Contact Information

Primary practice address
177 Main St Ste 105 Huntington NY 11743
Phone: (631) 421-4188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 298834 New York

Profile Details

NPI number 1003201179
LBN Legal business name Shah, Pooja R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2015
Last updated Jan 17th, 2021 - 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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