D.K Shah MD PC
Internal Medicine, Gastroenterology in Kingston, NY. Organization (NPI-2).
NPI number1346598745
StatusActive
Last updated in NPPESAug 16, 2012
Details
- NPI
- 1346598745
- Entity type
- Organization (NPI-2)
- Legal business name
- D.K Shah MD PC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2012
- Last updated
- Aug 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 002092-1 | NY | Yes |
Other names
- Grand Street Medical Associates (Doing Business As)
Practice location
33 Grand StGrand Street Gastroenterology
Kingston, NY 12401-3933
Phone 845-338-2300 · Fax 845-338-9711
Mailing address
33 Grand StGrand Street Gastroenterology
Kingston, NY 12401-3933
Phone 845-338-2300 · Fax 845-338-9711
Authorized official
Amjad Khan
Billing Manager
8453381535
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