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D.K SHAH MD PC NPI 1811243496


NPI Information

NPI: 1811243496
Provider Name: D.K SHAH MD PC

Doing Business As: GRAND STREET MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
27 GRAND ST
KINGSTON, NY
ZIP 12401
Phone: (845) 338-1535
Get Directions

D.K SHAH MD PC is a hematology and oncology internal medicine in Kingston, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. D.K SHAH MD PC NPI is 1811243496. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand Street Medical Associates.

The provider's business location address is:

27 GRAND ST
KINGSTON, NY
ZIP 12401-933
Phone: (845) 338-1535
Fax: (845) 338-9879

The provider's authorized official is Amjad Khan .
The authorized official title is Billing Manager and has the following contact phone number (845) 338-1535.

The enumeration date for this NPI number is 8/1/2012 and was last updated on 8/1/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine208411-1NEW YORKNo
2207Q00000XFamily Medicine238102-1NEW YORKNo
3207Q00000XFamily Medicine238100-1NEW YORKNo
4207Q00000XFamily Medicine233816-1NEW YORKNo
5207Q00000XFamily Medicine154954NEW YORKNo
6207RG0100XInternal MedicineGastroenterology002092-1NEW YORKNo
7207RN0300XInternal MedicineNephrology175032-1NEW YORKNo
8207RN0300XInternal MedicineNephrology220158-1NEW YORKNo
9207RN0300XInternal MedicineNephrology254731-1NEW YORKNo
10207RP1001XInternal MedicinePulmonary Disease171395-1NEW YORKNo
11207RP1001XInternal MedicinePulmonary Disease115320-1NEW YORKNo
12207W00000XOphthalmology116416-1NEW YORKNo
13207RH0003XInternal MedicineHematology & Oncology123071-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W23881MEDICARE PINNEW YORK

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: 5/5/2024

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