Provider Demographics
NPI:1417445149
Name:SHAH, ASHNA N (DMD)
Entity Type:Individual
Prefix:DR
First Name:ASHNA
Middle Name:N
Last Name:SHAH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 2ND AVE APT 18F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9187
Mailing Address - Country:US
Mailing Address - Phone:804-665-4920
Mailing Address - Fax:
Practice Address - Street 1:BRONX LEBANON HOSPITAL CENTER 6 TH FLOOR
Practice Address - Street 2:1775 GRAND CONCOURSE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:718-901-8110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program