D.K Shah MD PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

123071-1 Issued in NY

Legal business name

D.K SHAH MD PC

Doing business as

Grand Street Medical Associates

Practice address

27 Grand St
Kingston, NY 12401-3933

Phone

(845) 338-1535

Fax

(845) 338-9879

NPI assigned

Aug 1, 2012

Last updated

Aug 1, 2012By 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

Mr. Amjad Khan

Title

Billing Manager

Phone

(845) 338-1535

Specialties & licenses 13

Addresses

Other names 1

• GRAND STREET MEDICAL ASSOCIATES Doing business as

Tax ID family

DK Shah MD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• D.K Shah MD PC

  dba Grand Street Medical Associates

  • Gastroenterology Physician
  • Kingston, NY
  • NPI 1346598745
  NPD tax ID
• D.K Shah MD PC

  dba Grand Street Medical Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Kingston, NY
  • NPI 1659626489
  NPD tax ID
• D.K Shah MD PC

  dba Grand Street Medical Associates

  • Hematology & Oncology Physician
  • Kingston, NY
  • NPI 1891043295
  NPD tax ID

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1811243496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GRAND ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-1535",
            "fax_number": "845-338-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GRAND ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-1535",
            "fax_number": "845-338-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.K SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "845-338-1535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208411-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "238102-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "238100-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233816-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154954",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "002092-1",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "123071-1",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "175032-1",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "220158-1",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "254731-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "171395-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "115320-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "116416-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND STREET MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CVS Albany LLC (CVS Pharmacy# 08945)
• CVS Albany LLC (CVS Pharmacy # 00428)
• Janice Leigh Cyr, LCSW
• D.K Shah MD PC (Grand Street Medical Associates)
• D.K Shah MD PC (Grand Street Medical Associates)
• D.K Shah MD PC (Grand Street Medical Associates)
• D.K. Shah MD, P.C. (Grand Street Medical Associates)
• Melissa Marie D'Andrea, MD
• Melissa Maria Dagele, COTA
• Judith M Dagirmanjian, CSW-R

• Hematology & Oncology Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.