Dr Minal Shah, MD is a
General Practice physician based in Syosset, New York. Dr Minal Shah is licensed to practice in New York (license number 189767) and his current practice location is 110 Coachman Place West, Syosset, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 477-0008.
NPI number for Dr Minal Shah is 1417936501 and his current mailing address is Po Box 947, Syosset, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417936501.
Physician's Profile
| Full Name | Dr Minal Shah |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 110 Coachman Place West, Syosset, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417936501
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 01/04/2017
Medical Identifiers
Medical identifiers for Dr Minal Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417936501 | NPI | - | NPPES |
| 01347960 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 189767 (New York) | Secondary |
| 208D00000X | General Practice | 189767 (New York) | Primary |
| 207Q00000X | Family Medicine | 189767 (New York) | Secondary |
| 208M00000X | Hospitalist | 189767 (New York) | Secondary |
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 Minal Shah 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 Address | Practice Location Address |
|---|
Dr Minal Shah, MD
Po Box 947,
Syosset, NY 11791-0079
Ph: (516) 477-0008 | Dr Minal Shah, MD
110 Coachman Place West,
Syosset, NY 11791-3052
Ph: (516) 477-0008 |
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