Healthcare Provider Details

I. General information

NPI: 1598717324
Provider Name (Legal Business Name): ABRAR H SHAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CANAL LANDING BLVD. SUITE 8
ROCHESTER NY
14618
US

IV. Provider business mailing address

2365 S. CLINTON AVENUE SUITE 100
ROCHESTER NY
14618
US

V. Phone/Fax

Practice location:
  • Phone: 585-442-5320
  • Fax: 585-442-5526
Mailing address:
  • Phone: 585-723-7872
  • Fax: 585-723-7236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number219972
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number219972
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number219972
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: