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General NPI Number Information
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NPI Number | 1881048486
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Entity Type | Individual
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Provider Name | SUMIR SHAH D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 255 GREENWICH ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10007-2688
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Country | US
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Telephone | 646-687-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 249 PUTNAM AVE
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City | BROOKLYN
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State | NY
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Zip | 11216-5937
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Country | US
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Telephone | 585-406-5356
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 297353
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License Number State | NY
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