Dr Pravin Shah, MD | |
19 Bradhurst Ave, Ste 700, Hawthorne, NY 10532-2140 | |
(914) 593-7800 | |
(914) 593-7881 |
Full Name | Dr Pravin Shah |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 19 Bradhurst Ave, Hawthorne, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326041211 | NPI | - | NPPES |
97E613K223 | Other | NY | PTAN |
00549853 | Medicaid | NY | |
97E6133641 | Other | NY | PTAN |
97E613K221 | Other | NY | PTAN |
770002078 | Other | NY | RAIL ROAD MEDICARE |
97E613K222 | Other | NY | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 117860 (New York) | Primary |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Mailing Address | Practice Location Address |
---|---|
Dr Pravin Shah, MD Po Box 5801, New York, NY 10087-5801 Ph: (914) 593-7880 | Dr Pravin Shah, MD 19 Bradhurst Ave, Ste 700, Hawthorne, NY 10532-2140 Ph: (914) 593-7800 |
Cordelia V Sharma, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, Suite 3040n, Hawthorne, NY 10532 Phone: 914-493-6820 | |
Anthony Maffei, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, Suite 1700, Hawthorne, NY 10532 Phone: 914-493-2853 Fax: 914-347-4401 | |
Kathryn Martin, Surgery Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave Ste 3050n, Hawthorne, NY 10532 Phone: 914-775-5437 | |
Anthony Joseph Policastro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, 3040n, Hawthorne, NY 10532 Phone: 914-347-0162 Fax: 914-347-4401 | |
Dr. Romeo Mateo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, Ste 700, Hawthorne, NY 10532 Phone: 914-593-7800 Fax: 914-593-7881 | |
Francis Balolong Baccay, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 19 Bradhurst Ave, Suite3050n, Hawthorne, NY 10532 Phone: 914-347-0162 Fax: 914-347-4401 |