| Suhail Shah Md Pc | |
|
1483 Beech Ln East Meadow NY 11554-3706 | |
| (516) 292-6642 | |
| (516) 292-2558 |
| Full Name | Suhail Shah Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1483 Beech Ln, East Meadow, New York |
| Authorized Official Name and Position | Suhail A Shah (CEO) |
| Authorized Official Contact | 5162926642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suhail Shah Md Pc Po Box 441 East Meadow NY 11554-0441 Ph: (516) 292-6642 | Suhail Shah Md Pc 1483 Beech Ln East Meadow NY 11554-3706 Ph: (516) 292-6642 |
| NPI Number | 1730251810 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567460108 |
|---|---|
| Medicare Enrollment ID | O20061115000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730251810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 206932 (New York) | Primary |
| Provider Name | Suhail Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639271174 PECOS PAC ID: 3971501750 Enrollment ID: I20061110000379 |
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