Shah, Sanjay N

Shah, Sanjay N is an individual health care provider with primary practice located at 181 Maple St , Massena NY 13662-1012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shah, Sanjay N can be contacted via phone (315) 769-4656.

Contact Information

Primary practice address
181 Maple St Massena NY 13662-1012
Fax: (315) 769-4671
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 167327 New York

Profile Details

NPI number 1285694778
LBN Legal business name Shah, Sanjay N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 26th, 2015 - about 10 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 1285694778 NPPES
New York MEDICAID 01368721

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