Provider Demographics
NPI:1205033487
Name:SHAH, PARINDA N (MD)
Entity Type:Individual
Prefix:DR
First Name:PARINDA
Middle Name:N
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:404 E 79TH ST
Mailing Address - Street 2:APT 29E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1466
Mailing Address - Country:US
Mailing Address - Phone:646-853-6027
Mailing Address - Fax:
Practice Address - Street 1:423 EAST 23RD STREET
Practice Address - Street 2:VETERANS ADMINSTRATION NEW YORK HARBOR HEALTHCARE SYSTE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-686-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226475-12085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY226475-1OtherMEDICAL LICENSE NUMBER