National Provider Identifier
Shubha Shastry, MD, PHD
Shubha Shastry, MD, PHD is listed in the NPPES registry with a primary specialty of Nephrology Physician in Rochester, NY and a listed phone number of (585) 922-0400.
Profile Overview
- NPI
- 1124387048
- Provider Type
- Individual
- Primary Specialty
- Nephrology Physician
- Enumeration Date
- May 12, 2012
- Last Updated
- January 07, 2014
Practice Location
- 370 E Ridge RD
- Rochester, NY 14621-1240
Phone: (585) 922-0400
Mailing Address
- 370 E Ridge RD
- Suite 20
- Rochester, NY 14621-1240
Specialties
- Nephrology Physician (207RN0300X)
Full Record
- NPI
- 1124387048
- Entity Type
- Individual
- Last Name
- Shastry
- First Name
- Shubha
- Credential
- MD, PHD
- Mailing Street Address
- 370 E Ridge RD
- Mailing Address Line 2
- Suite 20
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1240
- Mailing Country
- US
- Practice Street Address
- 370 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1240
- Practice Country
- US
- Practice Phone
- (585) 922-0400
- Enumeration Date
- May 12, 2012
- Last Updated
- January 07, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nephrology Physician (207RN0300X)
- Other Identifiers
- 03725091 (NY), 01131126/RGH (NY)