Doctor Name: | SAMIT SHAH |
NPI Number: | 1003040254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 789 Howard Ave Yale-new Haven Hospital New Haven, CT - 065191304 |
Business Phone Number: | 2037856484 |
Business Fax Number: | |
Mailing Address: | 1324 Lexington Ave, Apt. 7 NEW YORK |
State: | NY |
Postal Code: | 101281145 |
Phone Number: | 5169871636 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2009 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |