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General NPI Number Information
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NPI Number | 1700741667
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Entity Type | Individual
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Provider Name | USMAN SHAH PA
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Gender | Male
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1155 MAIN ST APT 448
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City | BUFFALO
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State | NY
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Zip | 14209-2382
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Country | US
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Telephone | 201-469-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 MAIN ST APT 448
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City | BUFFALO
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State | NY
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Zip | 14209-2382
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Country | US
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Telephone | 201-469-7383
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XC2901X
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Taxonomy Name | Cardiovascular Invasive Specialist/Technologist
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License Number |
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License Number State |
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