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1215020011
MAHENDRA G. SHAH
WADING RIVER, NY
NPI
1215020011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 136332)
Enumeration Date
2006-10-02
Last Update Date
2011-07-21
Business Address
Dr. MAHENDRA G. SHAH M.D.
1866 WADING RIVER MANOR ROAD
WADING RIVER, NY 11792
Phone number: 631-929-8787
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Mailing Address
Dr. MAHENDRA G. SHAH M.D.
P.O. BOX 625
WADING RIVER, NY 11792
Phone number: 631-929-8787
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