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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SYED JIBRAN SHAH, D.O

Active

SYED JIBRAN SHAH, D.O is a Family Medicine healthcare provider located in ITHACA, New York. NPI 1518385269 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ITHACA, NY

Registration Details

NPI Number
1518385269
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2014 (12.384798213468 yrs)
Last Updated
Jul 21, 2022
License
289028 (NY)

Practice Information

Address
1780 HANSHAW RD
ITHACA, NY, 148509105
Browse NY providers · Browse ZIP 14850
Phone
6072575858
Fax
6072571718
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ITHACA, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.