Shah, Pravin

Shah, Pravin is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 700, Hawthorne NY 10532-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Shah, Pravin can be contacted via phone (914) 593-7800.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 700 Hawthorne NY 10532-2140
Phone: (914) 593-7800
Fax: (914) 593-7881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 117860 New York

Profile Details

NPI number 1326041211
LBN Legal business name Shah, Pravin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 8th, 2008 - about 16 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 1326041211 NPPES
New York Other 97E613K223 PTAN
New York MEDICAID 00549853 PTAN
New York Other 97E6133641 PTAN
New York Other 97E613K221 PTAN
New York Other 770002078 PTAN
New York Other 97E613K222 PTAN

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