Provider Demographics
NPI:1083976047
Name:ULLAH, SHAH SYED (MS ED)
Entity Type:Individual
Prefix:MR
First Name:SHAH SYED
Middle Name:
Last Name:ULLAH
Suffix:
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 85TH ST
Mailing Address - Street 2:2 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4706
Mailing Address - Country:US
Mailing Address - Phone:917-838-2347
Mailing Address - Fax:
Practice Address - Street 1:464 85TH ST
Practice Address - Street 2:2 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-4706
Practice Address - Country:US
Practice Address - Phone:917-838-2347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist