| Kumarpal Shah Md | |
|
304 Livingston St Apt 2b Brooklyn NY 11217-1034 | |
| (718) 222-1065 | |
| (215) 261-1529 |
| Full Name | Kumarpal Shah Md |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 304 Livingston St, Brooklyn, New York |
| Authorized Official Name and Position | Kumarpal A Shah (PHYSICIAN IN PRACTICE) |
| Authorized Official Contact | 7182221065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumarpal Shah Md 304 Livingston St Apt 2b Brooklyn NY 11217-1034 Ph: (718) 222-1065 | Kumarpal Shah Md 304 Livingston St Apt 2b Brooklyn NY 11217-1034 Ph: (718) 222-1065 |
| NPI Number | 1811033889 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811033889 | NPI | - | NPPES |
| 0021517 | Other | NY | GHI PROVIDER NO |
| 00770576 | Medicaid | NY | |
| 6635785002 | Other | NY | CIGNA |
| 139486 | Other | NY | HIP PROVIDER ID NO |
| 67A03 | Other | NY | BLUE SHELD PROVIDER NO |
| P2090111 | Other | NY | OXFORD |
| 139486 B21 | Other | NY | HEALTHFIRST PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 139486 (New York) | Primary |
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