Shah, Virendra

Shah, Virendra is an individual health care provider with primary practice located at 190 Cozine Ave , Brooklyn NY 11207-8867. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shah, Virendra can be contacted via phone (718) 649-1398.

Contact Information

Primary practice address
190 Cozine Ave Brooklyn NY 11207-8867
Phone: (718) 649-1398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 033327 New York

Profile Details

NPI number 1801869110
LBN Legal business name Shah, Virendra
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1801869110 NPPES
New York MEDICAID 00398554

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