Shah, Svetlana Claravall

Shah, Svetlana Claravall is an individual health care provider with primary practice located at 7785 N State St , Lowville NY 13367-1229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shah, Svetlana Claravall can be contacted via phone (315) 376-5475.

Contact Information

Primary practice address
7785 N State St Lowville NY 13367-1229
Fax: (315) 376-5129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24607 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 268281 New York

Profile Details

NPI number 1477696193
LBN Legal business name Shah, Svetlana Claravall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 18th, 2020 - about 5 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 1477696193 NPPES
New York MEDICAID 03919000

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