| Dr Rajiv S Shah, MD | |
|
50 Leroy St, Potsdam, NY 13676-1786 | |
| (315) 261-4493 | |
| (315) 261-4498 |
| Full Name | Dr Rajiv S Shah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 50 Leroy St, Potsdam, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295849073 | NPI | - | NPPES |
| 01061641 | Medicaid | NY | |
| 110022828 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 168997 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 168997 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canton-potsdam Hospital | 6204827280 | 199 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rajiv S Shah, MD 50 Leroy St, Potsdam, NY 13676-1799 Ph: (315) 265-3300 | Dr Rajiv S Shah, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 261-4493 |
Dr. Velmalia Danette Matthews-smith, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dr. John Ho Kim, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-5607 | |
James Vecchio, Gastroenterology Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-4498 | |
Jayaram Radhakrishnan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 153-274-9102 | |
Eric L Walter, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Magendra Thakur, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7957 Us Highway 11, Potsdam, NY 13676 Phone: 315-268-1644 Fax: 315-265-7736 |