Provider Demographics
NPI:1619179553
Name:SHAH, NEOMI (MD)
Entity type:Individual
Prefix:
First Name:NEOMI
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:111 EAST 210TH ST. MONTEFIORE MEDICAL CENTER
Mailing Address - Street 2:PULMONARY DIVISION CENT 3, DEPT. OF MEDICINE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-2105
Mailing Address - Fax:718-652-8384
Practice Address - Street 1:111 EAST 210TH ST. MONTEFIORE MEDICAL CENTER
Practice Address - Street 2:PULMONARY DIVISION CENT 3, DEPT. OF MEDICINE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-2105
Practice Address - Fax:718-652-8384
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2008-11-18
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Provider Licenses
StateLicense IDTaxonomies
CT042547207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease