Provider Demographics
NPI:1346253267
Name:MERCHANT, SHEHZAD S (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEHZAD
Middle Name:S
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1126
Mailing Address - Country:US
Mailing Address - Phone:716-859-7224
Mailing Address - Fax:716-859-1491
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-7224
Practice Address - Fax:716-859-1491
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254387207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02818564Medicaid
NY000528773001OtherHEALTH NOW
NY161000580OtherMERITAIN
NY00027719501OtherUNIVERA
NY161000580OtherEMPIRE
NY161000580OtherNOVA
NY3413998OtherINDEPENDENT HEALTH
NY02818564Medicaid