Provider Demographics
NPI:1083840409
Name:SHAH, AMEE MAHENDRAKUMAR (DO)
Entity Type:Individual
Prefix:
First Name:AMEE
Middle Name:MAHENDRAKUMAR
Last Name:SHAH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COTTAGE PL APT 5G
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1512
Mailing Address - Country:US
Mailing Address - Phone:917-862-0734
Mailing Address - Fax:
Practice Address - Street 1:10 COTTAGE PL APT 5G
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1512
Practice Address - Country:US
Practice Address - Phone:917-862-0734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051283207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine