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1992558027
IMTIAZ ALI SHAH
ELMIRA, NY
NPI
1992558027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
Dr. IMTIAZ ALI SHAH MD
600 ROE AVE
ELMIRA, NY 14905-1676
Phone number: 607-442-1716
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Mailing Address
Dr. IMTIAZ ALI SHAH MD
35 LYNDALE AVE
BUFFALO, NY 14223-3021
Phone number: 716-808-1692
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