Individual ProviderDhara ShahSpecialistOther Service ProvidersPractice Address8942 15th Ave, Brooklyn, NY 11228-3902(917) 838-9738PECOS EnrollmentBased on the most recent information from CMS, provider Dhara Shah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225194905Provider TypeIndividualFull NameShah, DharaCredentialPTGenderFemaleSole ProprietorYesEnumeration Date12/28/2006Last Updated3/16/2010Contact InformationPractice LocationPractice Address8942 15th Ave, Brooklyn, NY 11228-3902Phone(917) 838-9738FaxUnlisted FaxMailing LocationMailing Address8942 15th Ave, Brooklyn, NY 11228-3902Phone(917) 838-9738FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer