Suhail Shah MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

206932 Issued in NY

Legal business name

SUHAIL SHAH MD PC

Practice address

1483 Beech LN
East Meadow, NY 11554-3706

Phone

(516) 292-6642

Fax

(516) 292-2558

NPI assigned

Nov 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suhail A Shah, MDNPI 1639271174

Title

Ceo

Phone

(516) 292-6642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suhail A Shah, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1639271174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730251810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115540441",
            "telephone_number": "516-292-6642",
            "fax_number": "516-292-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 BEECH LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543706",
            "telephone_number": "516-292-6642",
            "fax_number": "516-292-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHAIL SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-292-6642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Straub
• Laura Strobel, RN
• Brian Alexander Suarez, MD
• Margarita Suarez, MD
• Hyun Bin Suh, BS, MD
• Amy Mack Sukati, M.D.
• Karis Sullivan, DPT
• Leo Sullivan, LMHC
• Fahad Sultan, NP
• Jasmine Sundri

• Internal Medicine Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.