Individual provider · Type 1 NPI

Kulsoom Shah, MD

Family Medicine Physician · Stony Brook, NY

NPI number 1114920360 Active

Practice location

1 Stadium Rd,student Health Center,stonybrook Univ
Stony Brook, NY 11794-0001

Call (631) 632-6740 Map

Fax (631) 632-6936

Mailing address

52 Avalon Cir
Smithtown, NY 11787-3855

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X224192-1 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1114920360

Kulsoom Shah, MD's National Provider Identifier is 1114920360, issued on May 23, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 13, 2026.