Dr Samir Shah, DO is a
Student In An Organized Health Care Education/training Program physician based in Elmira, New York. Dr Samir Shah is licensed to practice in * (Not Available) (license number ) and his current practice location is 600 Roe Ave, Elmira, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 737-4100.
NPI number for Dr Samir Shah is 1104563790 and his current mailing address is 600 Roe Ave, Elmira, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104563790.
Physician's Profile
| Full Name | Dr Samir Shah |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 600 Roe Ave, Elmira, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104563790
- Provider Enumeration Date: 05/16/2022
- Last Update Date: 04/12/2023
Medical Identifiers
Medical identifiers for Dr Samir Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104563790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | S000-791-95-288-0 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samir Shah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samir Shah, DO
600 Roe Ave,
Elmira, NY 14905-1629
Ph: (607) 737-4100 | Dr Samir Shah, DO
600 Roe Ave,
Elmira, NY 14905-1629
Ph: (607) 737-4100 |
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