Look up the most recent NPI and PECOS records

Nathubhai C Shah

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Nathubhai C Shah does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1215903430
Provider Type
Individual
Full Name
Shah, Nathubhai C
Credential
MD

Gender
Male
Enumeration Date
2/27/2006
Last Updated
7/8/2007

Contact Information

Practice Location

45-62 Parsons Blvd, Flushing, NY 11355

(718) 886-4848

(718) 886-5418

Mailing Location

45-62 Parsons Blvd, Flushing, NY 11355

(718) 886-4848

(718) 886-5418

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 117858 New York

Provider Identifiers

ID	Description	Issuer
ID 00219416	Description Medicaid	Issuer Unlisted New York

Nathubhai C Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Reuben, Stephen

Zeyneloglu, Nejat

Reznyk, Yevhen

Haider, Rohail

Tam, Connie Chung Kong

Shapiro, Marisa M

Ting, Henry Yuan-Hung

Hasan, Uzair

Lodeen, Homayoon

Toronjadze, Tamar