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NPI Code Detail

MEDICARE: VINAY J SHAH MD

MEDICARE: VINAY J SHAH MD
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
1208000000XPediatrics Physician166833NY

General Provider Information

NPI Number : 1548393150
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINAY J SHAH MD
Provider Business Mailing Address
First Line : 86 INVERNESS DR
Second Line :
City : KENDALL PARK
State : NJ
Zip : 08824-7012
Country : US
Telephone Number : 201-307-9671
Fax Number : 718-310-6316
Provider Business Practice Location Address
First Line : 1211 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10472-4900
Country : US
Telephone Number : 718-828-6610
Fax Number : 718-829-9132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 05/07/2026

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