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General NPI Number Information
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NPI Number | 1750637328
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Entity Type | Individual
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Provider Name | ANKUR BHARAT SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 65 SPRAGUE RD
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City | SCARSDALE
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State | NY
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Zip | 10583-6209
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Country | US
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Telephone | 205-706-5579
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 288313
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License Number State | NY
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