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Nayan R. Shah

Family Medicine

Allopathic & Osteopathic Physicians

632 Broadway Ph 12, New York, NY 10012-2614

PECOS Enrollment

This provider is enrolled in PECOS as NAYAN SHAH.

Based on the most recent information from CMS, provider Nayan R. Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1457365553
Provider Type
Individual
Full Name
Shah, Nayan R.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/27/2006
Last Updated
10/24/2022

Contact Information

Practice Location

632 Broadway Ph 12, New York, NY 10012-2614

(347) 294-3414

Unlisted Fax

Mailing Location

632 Broadway Ph 12, New York, NY 10012-2614

(347) 294-3414

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A80851 California

Nayan R. Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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