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DR. AMIT RAJENDRA SHAH M.D. NPI 1396067682


NPI Information

NPI: 1396067682
Provider Name: DR. AMIT RAJENDRA SHAH, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: PRINE HEALTH MEDICAL GROUP PLLC

PECOS Registration: Yes

Address:
1400 PELHAM PKWY S
SUITE 1213
BRONX, NY
ZIP 10461
Phone: (718) 918-5590
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DR. Amit Rajendra Shah, M.D. is a vascular surgery surgery in Bronx, NY with 22 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Amit Rajendra Shah, M.D. NPI is 1396067682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:2002

The provider's business location address is:

1400 PELHAM PKWY S
SUITE 1213
BRONX, NY
ZIP 10461-138
Phone: (718) 918-5590
Fax: (718) 918-5593

The NPI 1396067682 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2010 and was last updated on 5/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery250719NEW YORKNo
22086S0129XSurgeryVascular Surgery250719NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.