| Anjali Shah Md Pc | |
|
169 N Plank Rd Newburgh NY 12550-1723 | |
| (845) 563-9055 | |
| (845) 917-9077 |
| Full Name | Anjali Shah Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 169 N Plank Rd, Newburgh, New York |
| Authorized Official Name and Position | Anjali N Shah (OWNER) |
| Authorized Official Contact | 8455639055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anjali Shah Md Pc 169 N Plank Rd Newburgh NY 12550-1723 Ph: (845) 563-9055 | Anjali Shah Md Pc 169 N Plank Rd Newburgh NY 12550-1723 Ph: (845) 563-9055 |
| NPI Number | 1649638446 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 0941507214 |
|---|---|
| Medicare Enrollment ID | O20160331001278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649638446 | NPI | - | NPPES |
| 02593199 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 233116 (New York) | Primary |
| Provider Name | Anjali N Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831101757 PECOS PAC ID: 1557325917 Enrollment ID: I20041116000147 |
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