Atin Kumar Shaha, MD
Internal Medicine in Far Rockaway, NY. Individual provider (NPI-1).
NPI number1184246795
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1184246795
- Entity type
- Individual (NPI-1)
- Name
- Atin Kumar Shaha
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2020
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | P115386 | NY | Yes |
Practice location
520 Beach 19th StFar Rockaway, NY 11691-4307
Phone 516-262-6096
Mailing address
14654 107th Ave Fl 1Jamaica, NY 11435-5242
Phone 929-303-9109
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All 76 Internal Medicine Physician providers in Far Rockaway · All 2,045 providers in Far Rockaway
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