Provider Demographics
NPI:1598717324
Name:SHAH, ABRAR H (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAR
Middle Name:H
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2365 S. CLINTON AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-723-7872
Mailing Address - Fax:585-723-7236
Practice Address - Street 1:101 CANAL LANDING BLVD.
Practice Address - Street 2:SUITE 8
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-442-5320
Practice Address - Fax:585-442-5526
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2013-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY219972207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
000922327002OtherHEALTHNOW
P020219972OtherBLUE CROSS BLUE SHIELD
118208BOOtherPREFERRED CARE
2591709OtherGHI
5450484OtherAETNA
9717339OtherGHI
7501538OtherAETNA
1136019WCIMCDOtherWORKER'S COMPENSATION
P010219972OtherBLUE CHOICE MANAGED CARE
NY02498800Medicaid
1136019WCIMCDOtherWORKER'S COMPENSATION
P010219972OtherBLUE CHOICE MANAGED CARE
H94775Medicare UPIN