NPI 1003201179

Pooja R Shah, MD

Practitioner Dermatology Physician Huntington, NY

Practice location

Address: 177 Main St STE 105, Huntington, NY 11743
Phone: (631) 421-4188
Mailing address: 177 Main St STE 105, Huntington, NY 11743-6917

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 298834 (NY)

Other Dermatology providers in New York →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003201179
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2015
Record last updated: 17 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.