Shriraj Shah Physician PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

192319 Issued in NY

Legal business name

SHRIRAJ SHAH PHYSICIAN PC

Practice address

99 E State St
Medical Arts Building
Gloversville, NY 12078-1203

Phone

(518) 725-7085

Fax

(518) 773-7999

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shriraj C Shah, M.D.

Title

Owner

Phone

(518) 725-7085

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1073685301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-725-7085",
            "fax_number": "518-773-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-725-7085",
            "fax_number": "518-773-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIRAJ SHAH PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHRIRAJ",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-725-7085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "192319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Marie Sheils, MPH, MS, FNP-C
• Diana Sherman, M.D.
• Susan N Sherman, R.N.
• Jessica Shibley
• Savitri Shivcharan
• Margaret Maria Sippel, RN
• Laressa Marie Slater
• Erika Lee Slezak
• Barbara Marie Smith, PT
• Jeffery Craig Smith, LMHC

• Family Medicine Physician in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.