DR. SYED SHAH (NPI# 1821034695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821034695 |
| Entity Type | Individual |
| Full Name | DR. SYED SHAH |
| Credential | MD |
| Practice Address |
80 West Ave Suite L-2 Brockport NY 14420-1322 |
| Practice Telephone | 5852015071 |
| Practice Fax Number | 8555601765 |
| Mailing Telephone | 5852015071 |
| Mailing Fax Number | 8555601765 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
220900 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BC/BS OF WESTERN NY | 000526457003 | 01 |
| NY | INDEPENDENT HEALTH | 2111257 | 01 |
| NY | 02158703 | 05 | |
| NY | UNIVERA | 00025582604 | 01 |
| NY | AETNA | 7522255 | 01 |
| NY | BLUE CHOICE | P010220900 | 01 |
| NY | BLUE SHIELD | P020220900 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Canal Landing, Suite 8, Rochester, NY 14626 | 5852937300 | 5852277723 |
| 229 Summit Street, Suite 10, Batavia, NY 14020 | 5854425320 | 5854225526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198857 | Syed Fazal Shah | Nurse Practitioner | 719 Harrison St Rm 126, Syracuse, NY 13210-2305 | 2020-06-12 |
| 1336504745 | Syed Zubairuddin Shah | Pharmacist | 6630 Fm 1463 Rd., Suite 400-a, Katy, TX 77494 | 2015-12-30 |
| 1245318443 | Syed T Shah | Internal Medicine | 345 First South Street, Winthrop, IA 50682 | 2006-11-02 |
| 1811077738 | Syed Rizwan Shah | Specialist | 2746 Matlock Rd, Ste 100, Arlington, TX 76015-2531 | 2006-10-16 |
| 1760496152 | Syed M Shah | Physical Medicine & Rehabilitation | 435 59th St, West New York, NJ 07093-2107 | 2006-07-28 |
| 1720039480 | Syed Nayyar Shah | Internal Medicine | 1900 Mistletoe Blvd Ste 100, Fort Worth, TX 76104-4048 | 2006-05-15 |
| 1568435725 | Syed G Shah | Internal Medicine | 693 Port Carbon Saint Clair Hwy, Pottsville, PA 17901-8604 | 2006-02-08 |
| 1275514218 | Syed Asif Shah | Internal Medicine | 7600 S Minnesota Ave, Sioux Falls, SD 57108 | 2005-11-08 |
| 1508867300 | Syed Ahmed Shah | Psychiatry & Neurology | 1007 Ml King Dr, Suite 1, Centralia, IL 62801-3003 | 2005-08-03 |
| 1407365554 | Syed Shah | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2017-09-20 |
| Street Address |
80 WEST AVE SUITE L-2 |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043269335 | Pankaj Garg | Internal Medicine | 80 West Ave, Suite 109, Brockport, NY 14420-1322 | 2006-05-06 |
| 1083034854 | Metro Footcare Associates | Podiatrist | 80 West Ave, Brockport, NY 14420-1322 | 2014-04-21 |
| 1689848509 | Vinay R Aggarwal Md, Pllc | Clinic/Center | 80 West Ave, Suite 101, Brockport, NY 14420-1322 | 2008-04-22 |
| 1730392929 | Lakeside Memorial Hospital Inc. | General Acute Care Hospital | 80 West Ave, Suite 209, Brockport, NY 14420-1322 | 2007-05-07 |
| 1568481786 | Rajendra Mehta and Leena Mehta Physicians PC | Internal Medicine | 80 West Ave, Brockport, NY 14420-1322 | 2006-07-19 |
| 1720021108 | Vinay Rajkumar Aggarwal | Emergency Medicine | 80 West Ave, Suite 101, Brockport, NY 14420-1322 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| Find all providers in zip 14420 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.