Dr Mamta A Shaha, MD - Pediatrics in Great Neck, NY

Dr Mamta A Shaha, MD is a Pediatrics physician based in Great Neck, New York. Dr Mamta A Shaha is licensed to practice in New York (license number NY146203) and her current practice location is 12 Split Rock Dr, Great Neck, New York. She can be reached at her office (for appointments etc.) via phone at (516) 487-1852.

NPI number for Dr Mamta A Shaha is 1518220334 and her current mailing address is 12 Split Rock Dr, Great Neck, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518220334.

Contact Information

Dr Mamta A Shaha, MD
12 Split Rock Dr,
Great Neck, NY 11024-1127
(516) 487-1852
Not Available

Map and Direction




Physician's Profile

Full NameDr Mamta A Shaha
GenderFemale
SpecialityPediatrics
Location12 Split Rock Dr, Great Neck, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518220334
  • Provider Enumeration Date: 06/18/2012
  • Last Update Date: 06/18/2012

Medical Identifiers

Medical identifiers for Dr Mamta A Shaha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518220334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics NY146203 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mamta A Shaha is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mamta A Shaha, MD
12 Split Rock Dr,
Great Neck, NY 11024-1127

Ph: (516) 487-1852
Dr Mamta A Shaha, MD
12 Split Rock Dr,
Great Neck, NY 11024-1127

Ph: (516) 487-1852

Reviews and Comments


Pediatrics Doctors in Great Neck, NY

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