Individual provider · Type 1 NPI
Amit Rajendra Shah, MD
Vascular Surgery Physician · Massapequa Park, NY
NPI number
1396067682
Active
Practice location
450 Sunrise Hwy
Massapequa Park, NY 11762-2901
Mailing address
2 Evans Dr
Glen Head, NY 11545-3145
Other practice locations
- 1400 Pelham Pkwy S, Suite 1213, Bronx, NY 10461-1138 · (718) 918-5590
- 600 Northern Blvd Ste 115, Great Neck, NY 11021-5200 · (516) 482-8220
- 250 Pettit Ave Ste 2, Bellmore, NY 11710-3657 · (516) 387-7463
- 27111 76th Ave, New Hyde Park, NY 11040-1436 · (516) 387-7463
- 290 Community Dr, Great Neck, NY 11021-5504 · (516) 487-1902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 250719 (NY) |
| Vascular Surgery Physician Primary | 2086S0129X | 250719 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1396067682
Amit Rajendra Shah, MD's National Provider Identifier is 1396067682, issued on Feb 27, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Massapequa Park, NY. The record was last updated on Dec 19, 2023.