Individual provider · Type 1 NPI

Jaanki Shah

Adult Medicine Physician · Woodbury, NY

NPI number 1619618329 Active

Practice location

155 Froehlich Farm Blvd
Woodbury, NY 11797-2906

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X336606 (NY)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

3 other providers at this address

About NPI 1619618329

Jaanki Shah's National Provider Identifier is 1619618329, issued on Apr 5, 2022. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Woodbury, NY. The record was last updated on Apr 30, 2026.