SUMERA SHAH MD NPI 1467770636

NPI Information

NPI: 1467770636
Provider Name: SUMERA SHAH, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
621 10TH ST
NIAGARA FALLS MEMORIAL MEDICAL CENTER
NIAGARA FALLS, NY
ZIP 14301
Phone: (716) 278-4000
Get Directions

Sumera Shah, MD is an adult medicine family medicine in Niagara Falls, NY. The provider is definition to come. Sumera Shah, MD NPI is 1467770636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

621 10TH ST
NIAGARA FALLS MEMORIAL MEDICAL CENTER
NIAGARA FALLS, NY
ZIP 14301-813
Phone: (716) 278-4000

The NPI 1467770636 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 5/12/2010 and was last updated on 2/15/2011.

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
1	207QA0505X	Family Medicine	Adult Medicine	256681	NEW YORK	Yes

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	03236808	MEDICAID	NEW YORK
2	J400024184	MEDICARE PIN	NEW 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: 11/14/2023

NPI Synchronization or Removal

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