VIJAY SHAH PHYSICIAN PC NPI 1073892337

NPI Information

  • NPI: 1073892337
  • Provider Name: VIJAY SHAH PHYSICIAN PC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 17 GORDON DR
    WILLISTON PARK, NY
    ZIP 11596
  • Phone: (631) 805-2241

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NPI Details

VIJAY SHAH PHYSICIAN PC is a hematology and oncology internal medicine in Williston Park, 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. VIJAY SHAH PHYSICIAN PC NPI is 1073892337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 GORDON DR
WILLISTON PARK, NY
ZIP 11596-512
Phone: (631) 805-2241
Fax: (718) 204-7470

The provider's authorized official is Vijay R Shah .
The authorized official title is Owner/physician and has the following contact phone number (631) 805-2241.

The enumeration date for this NPI number is 8/4/2011 and was last updated on 8/22/2011.

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
1207RH0003XInternal MedicineHematology & Oncology200343NEW 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
1094012MEDICARE PINNEW YORK
2A100053298MEDICARE PINNEW YORK
3G24385MEDICARE UPIN
401642713MEDICAIDNEW 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: 3/30/2025

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