Dr MAHENDRA SHAH is a male medical professional, specializing in Family Medicine. He graduated in 1972.
1866 WADING RIVER MANOR RD
WADING RIVER
NY
117922137
Tel: 6319298787
| Npi | 1215020011 |
| Pac Id | 7012105364 |
| Professional Enrollment Id | I20101230000533 |
| Last Name | SHAH |
| First Name | MAHENDRA |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | |
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| Line 1 Street Address | 1866 WADING RIVER MANOR RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WADING RIVER |
| State | NY |
| Zip Code | 117922137 |
| Phone Number | 6319298787 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 2 | 330246 |
| Hospital Affiliation Lbn 2 | ST CHARLES HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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