Shah, Shivani S

Shah, Shivani S is an individual health care provider with primary practice located at 135 Canal St Ste 200 , Staten Island NY 10304. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shah, Shivani S can be contacted via phone (917) 830-1950.

Contact Information

Primary practice address
135 Canal St Ste 200 Staten Island NY 10304
Phone: (917) 830-1950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 292168 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 292168 New York

Profile Details

NPI number 1245579226
LBN Legal business name Shah, Shivani S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2013
Last updated Jul 18th, 2018 - about 7 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 1245579226 NPPES
New York Other 292168 NY STATE

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