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

39 Grand St
Grand Street Oncology
Kingston, NY 12401-3933

Phone

(845) 334-9920

Fax

(845) 334-9894

NPI assigned

Aug 16, 2012

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 1

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

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

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

  • Hematology & Oncology Physician
  • Kingston, NY
  • NPI 1811243496
  NPD tax ID

Locations

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1891043295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRAND ST",
            "address_2": "GRAND STREET ONCOLOGY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-334-9920",
            "fax_number": "845-334-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GRAND ST",
            "address_2": "GRAND STREET ONCOLOGY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-334-9920",
            "fax_number": "845-334-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.K SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "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": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "123071-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND STREET MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CVS Albany LLC
• Janice Leigh Cyr, LCSW
• D.K Shah MD PC
• D.K Shah MD PC
• D.K Shah MD PC
• D.K. Shah MD, P.C.
• Melissa Marie D'Andrea, MD
• Melissa Maria Dagele, COTA
• Judith M Dagirmanjian, CSW-R
• Steve Dagirmanjian, PHD

• 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 16, 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.