Provider Demographics
NPI:1831334283
Name:SHAH, PARUL JAGDISH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PARUL
Middle Name:JAGDISH
Last Name:SHAH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414
Mailing Address - Country:US
Mailing Address - Phone:518-943-4182
Mailing Address - Fax:518-943-5486
Practice Address - Street 1:19 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414
Practice Address - Country:US
Practice Address - Phone:518-943-4182
Practice Address - Fax:518-943-5486
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist