| Dhiraj M Shah, MD | |
| 391 Myrtle Ave., Suite 5, The Vascular Group, Pllc, Albany, NY 12208-3412 | |
| (518) 262-5640 | |
| (518) 262-9413 | 
| Full Name | Dhiraj M Shah | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 391 Myrtle Ave., Suite 5, Albany, 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 | 
|---|---|---|---|
| 1558351700 | NPI | - | NPPES | 
| 00N60410 | Other | NY | MEDICARE DOWN STATE | 
| 00567175 | Medicaid | NY | 
| Entity Name | Albany Medical College | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 | 
| Entity Name | Albany Medical College | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548290455 PECOS PAC ID: 1759293111 Enrollment ID: O20040309001433 | 
| Entity Name | Albany Medical College | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dhiraj M Shah, MD 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 Ph: (518) 262-5640 | Dhiraj M Shah, MD 391 Myrtle Ave., Suite 5, The Vascular Group, Pllc, Albany, NY 12208-3412 Ph: (518) 262-5640 | 
| Dr. Todd Beyer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5623 Fax: 518-262-5560 | |
| Dr. Carl Rosati, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5623 Fax: 518-262-5560 | |
| Adriana Laser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 391 Myrtle Ave Ste 5, Albany, NY 12208 Phone: 518-262-5640 | |
| Dr. John B Waldman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5088 Fax: 518-262-5400 | |
| Dr. Andrew L Isenberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd Ste 304, Albany, NY 12208 Phone: 518-525-5206 | |
| Dr. Edward Choongho Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5623 Fax: 518-262-5560 | |
| Dr. Elizabeth Robison, MD Surgery Medicare: Medicare Enrolled Practice Location: 113 Holland Ave, Mail Code 112, Albany, NY 12208 Phone: 518-626-6588 Fax: 518-626-6606 |