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NPI Code Detail

MEDICARE: SHRI NOEL M.D.

MEDICARE:   SHRI  NOEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician279047NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417272808
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHRI NOEL M.D.
Provider Business Mailing Address
First Line : 400 WHITE SPRUCE BLVD
Second Line : SUITE A
City : ROCHESTER
State : NY
Zip : 14623-1619
Country : US
Telephone Number : 585-427-9950
Fax Number : 585-424-2788
Provider Business Practice Location Address
First Line : 400 WHITE SPRUCE BLVD
Second Line : SUITE A
City : ROCHESTER
State : NY
Zip : 14623-1619
Country : US
Telephone Number : 585-427-9950
Fax Number : 585-424-2788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 05/04/2016

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