Shah, Vijay

Shah, Vijay is an sole proprietor health care provider with primary practice located at 444 W Main St , Patchogue NY 11772-3012. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Shah, Vijay can be contacted via phone (718) 204-0414.

Contact Information

Primary practice address
444 W Main St Patchogue NY 11772-3012
Phone: (718) 204-0414
Fax: (718) 204-7470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200342 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 200342 New York

Profile Details

NPI number 1609817428
LBN Legal business name Shah, Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Sep 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609817428 NPPES
New York MEDICAID 01642713

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