Active NPIIndividual provider

Shivani S Shah, MD

Pediatrics in Staten Island, New York

NPI Number1245579226
Practice location
135 Canal St Ste 200, Staten Island, NY 10304
Fax
—
Last updated
July 18, 2018

Shivani S Shah is a Pediatrics based in Staten Island, NY. Shivani S Shah practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Shivani S Shah is 1245579226 and holds a License No. 292168 (NY). The current practice location address for Shivani S Shah is 135 Canal St Ste 200, Staten Island, NY 10304 and can be reached out via phone at 917-830-1950.

Provider Profile Details

NPI Number
1245579226
Provider Name
Shivani S Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
135 Canal St Ste 200, Staten Island, NY 10304
Phone Number
917-830-1950
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
February 11, 2013
Last Update Date
July 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Canal St Ste 200
Staten Island, NY 10304
Zip
10304
Phone Number
917-830-1950
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
46 Albion St
Bridgeport, CT 06605-2602
City
Bridgeport
State
CT
Zip
06605-2602
Phone Number
646-724-0532

License Information

License Number (1)
292168
License State (1)
NY
Taxonomy (1)
Pediatrics, Adolescent Medicine · 2080A0000X
License Number (2)
292168
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shivani S Shah, MD?

The NPI number of Shivani S Shah, MD is 1245579226. It was assigned on February 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Shivani S Shah, MD?

Shivani S Shah, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 292168.

Where does Shivani S Shah, MD practice?

The practice location is 135 Canal St Ste 200, Staten Island, NY 10304. The office can be reached at 917-830-1950 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245579226 directly on the NPPES registry website.

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