MUKESH D. SHAH OB-GYN P.C. NPI 1790969343

NPI Information

  • NPI: 1790969343
  • Provider Name: MUKESH D. SHAH, OB-GYN P.C.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 1656 CHAMPLIN AVE
    SUITE # 224
    UTICA, NY
    ZIP 13502
  • Phone: (315) 724-4017

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NPI Details

MUKESH D. SHAH, OB-GYN P.C. is a gynecology obstetrics gynecology in Utica, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MUKESH D. SHAH, OB-GYN P.C. NPI is 1790969343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1656 CHAMPLIN AVE
SUITE # 224
UTICA, NY
ZIP 13502-830
Phone: (315) 724-4017
Fax: (315) 793-3689

The provider's authorized official is Mukesh Dhirajlal Shah .
The authorized official title is Owner / President and has the following contact phone number (315) 724-4017.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.

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
1207VG0400XObstetrics & GynecologyGynecology165131NEW 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
100796901MEDICAIDNEW YORK
2BB3954MEDICARE PINNEW YORK
3AA0180OTHERNEW YORKMEDICARE 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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