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Dr. Mahendra G. Shah, MD
Family Medicine Physician in Wading River, New York
NPI 1215020011

Mahendra G. Shah is a Family Medicine Physician based in Wading River, NY. Mahendra G. Shah practices in Wading River, NY and has the professional credentials of MD. The NPI Number for Mahendra G. Shah is 1215020011 and holds a License No. 136332 (New York).

The current practice location address for Mahendra G. Shah is 1866 Wading River Manor Road, Wading River, NY and can be reached out via phone at 631-929-8787 and via fax at 631-929-0350.

Location: 1866 Wading River Manor Road, Wading River, NY, 11792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215020011
Provider Name
Mahendra G. Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1866 Wading River Manor Road, Wading River, NY, 11792
Phone Number
631-929-8787
Fax Number
631-929-0350
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00558567 05 NY
15A681 01 NY PTAN
institution
Provider Business Practice Location Address Details
Address
1866 Wading River Manor Road
City
Wading River
State
New York
Zip
11792
Phone Number
631-929-8787
Fax Number
631-929-0350
person
Provider Business Mailing Address Details
Address
1866 Wading River Manor Road
City
Wading River
State
New York
Zip
11792
Phone Number
631-929-8787
Fax Number
631-929-0350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
136332 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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