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NPI Code Detail

MEDICARE: SHIREEN A PAIS M.D.

MEDICARE:   SHIREEN A PAIS  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
1207RG0100XGastroenterology Physician240734NY
2207RG0100XGastroenterology Physician01060360IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1396544OTHERNYMVP
25C8748OTHERNYHEALTHNET
30122150OTHERNYGHI PPO
4240734OTHERNYCONNECTICARE
53990608OTHERNYAETNA HMO
6000000112058OTHERNYGHI HMO
7373096OTHERNYWELLCARE
85V0881OTHERNYBC/BS NY
9P3705538OTHERNYOXFORD
10240734OTHERNYHIP
117426688OTHERNYAETNA PPO

General Provider Information

NPI Number : 1396709838
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIREEN A PAIS M.D.
Provider Business Mailing Address
First Line : 2649 STRANG BLVD STE 304
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2938
Country : US
Telephone Number : 914-739-0087
Fax Number : 914-737-1714
Provider Business Practice Location Address
First Line : 2050 SAW MILL RIVER RD
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4143
Country : US
Telephone Number : 914-233-3008
Fax Number : 914-233-3011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 12/17/2021

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Directions to “ SHIREEN A PAIS M.D.” Practice Location

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