DR. MINAL SHAH MD NPI 1417936501

NPI Information

NPI: 1417936501
Provider Name: DR. MINAL SHAH, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address: 110 COACHMAN PLACE WEST
SYOSSET, NY
ZIP 11791
Phone: (516) 477-0008

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NPI Details

DR. Minal Shah, MD is a general practice in Syosset, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Minal Shah, MD NPI is 1417936501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 COACHMAN PLACE WEST
SYOSSET, NY
ZIP 11791-052
Phone: (516) 477-0008
Fax: (516) 677-0107

The enumeration date for this NPI number is 1/17/2006 and was last updated on 1/4/2017.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	189767	NEW YORK	No
2	207R00000X	Internal Medicine	189767	NEW YORK	No
3	208D00000X	General Practice	189767	NEW YORK	Yes
4	208M00000X	Hospitalist	189767	NEW YORK	No

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
1	122A52	MEDICARE ID-TYPE UNSPECIFIED
2	F33713	MEDICARE UPIN
3	01347960	MEDICAID	NEW YORK
4	W35952	MEDICARE ID-TYPE UNSPECIFIED		GROUP

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: 11/21/2025

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