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
Phone: (315) 769-4656
Fax: (315) 769-4671
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285694778 | NPPES |
New York | MEDICAID | 01368721 |
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