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NPI Code Detail

MEDICARE: DR. TASNEEM J SHAH MD

MEDICARE: DR. TASNEEM 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
1207L00000XAnesthesiology Physician147610NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841259074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TASNEEM J SHAH MD
Provider Business Mailing Address
First Line : 2121 MAIN ST
Second Line : SUITE 209
City : BUFFALO
State : NY
Zip : 14214-2693
Country : US
Telephone Number : 716-836-7510
Fax Number :
Provider Business Practice Location Address
First Line : 2605 HARLEM RD
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-4018
Country : US
Telephone Number : 716-891-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/15/2011

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