| Dev Shah Md Pllc | |
|
7 S Madison Ave Spring Valley NY 10977-5539 | |
| (845) 661-2074 | |
| Not Available |
| Full Name | Dev Shah Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 S Madison Ave, Spring Valley, New York |
| Authorized Official Name and Position | Dev Vikram Shah (ATTENDING) |
| Authorized Official Contact | 8456612074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dev Shah Md Pllc 86 S Tyson Ave Apt 2c Floral Park NY 11001-1833 Ph: (845) 661-2074 | Dev Shah Md Pllc 7 S Madison Ave Spring Valley NY 10977-5539 Ph: (845) 661-2074 |
| NPI Number | 1952933467 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 7719317494 |
|---|---|
| Medicare Enrollment ID | O20200421000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952933467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dev V Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235556325 PECOS PAC ID: 9537436092 Enrollment ID: I20170605001301 |
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