MEDICARE: SYED ASIM 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
1	207Q00000X	Family Medicine Physician	304997	NY

General Provider Information

NPI Number	:	1932518016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED ASIM SHAH MD

Provider Business Mailing Address
First Line	:	1276 FULTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3402
Country	:	US
Telephone Number	:	718-992-7669
Fax Number	:

Provider Business Practice Location Address
First Line	:	1067 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-4601
Country	:	US
Telephone Number	:	718-992-7669
Fax Number	:	718-901-8704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2014
Last Update Date	:	10/08/2021

Similar Medicare Providers

1316981046 — SEM & SAM CORP
Practice Location Address:

1071 OGDEN AVE
BRONX, NY
10452-4601

Practice Phone: 718-410-9113
Practice Fax: 718-410-9131

1558471300 — RITE AID OF NEW YORK INC
Practice Location Address:

1091 OGDEN AVENUE
BRONX, NY
10452-4601

Practice Phone: 718-293-5271
Practice Fax:

1659552388 — MADHAVI RAYAPANENI
Practice Location Address:

1091 OGDEN AVE
BRONX, NY
10452-4601

Practice Phone: 718-293-5271
Practice Fax:

1730346628 — MYRIAM FABIOLA VANEGAS
Practice Location Address:

1067 OGDEN AVE
BRONX, NY
10452-4601

Practice Phone: 718-466-3220
Practice Fax:

1861645095 — RUPAL SAKARIA
Practice Location Address:

1071 OGDEN AVE
BRONX, NY
10452-4601

Practice Phone: 718-410-9113
Practice Fax:

1891212544 — WALGREEN CO
Practice Location Address:

1091 OGDEN AVE
BRONX, NY
10452-4601

Practice Phone: 718-293-5271
Practice Fax: 718-537-4123

Directions to “ SYED ASIM SHAH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.