Individual provider · Type 1 NPI

Imtiaz Ali Shah, MD

Student in an Organized Health Care Education/Training Program · Elmira, NY

NPI number 1992558027 Active

Practice location

600 Roe Ave
Elmira, NY 14905-1676

Call (607) 442-1716 Map

Fax (607) 873-7359

Mailing address

35 Lyndale Ave
Buffalo, NY 14223-3021

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992558027

Imtiaz Ali Shah, MD's National Provider Identifier is 1992558027, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmira, NY. The record was last updated on Apr 9, 2024.