Shah, Surendralal G.

Shah, Surendralal G. is an individual health care provider with primary practice located at 528 Old Country Road , Plainview NY 11803-4997. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shah, Surendralal G. can be contacted via phone (516) 822-4706.

Contact Information

Primary practice address
528 Old Country Road Plainview NY 11803-4997
Phone: (516) 822-4706
Fax: (516) 822-1373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 133617 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 133617 New York

Profile Details

NPI number 1558445973
LBN Legal business name Shah, Surendralal G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 8th, 2010 - about 14 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 1558445973 NPPES
New York MEDICAID 00725493

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