National Provider Identifier
Evan William Shaw
Evan William Shaw is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 645-9700.
Profile Overview
- NPI
- 1295364370
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- April 02, 2020
- Last Updated
- November 21, 2024
Practice Location
- 77 Goodell St Ste 340
- Buffalo, NY 14203-1243
Phone: (716) 645-9700
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1295364370
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Evan
- Middle Name
- William
- Mailing Street Address
- 77 Goodell St Ste 340
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1243
- Mailing Country
- US
- Practice Street Address
- 77 Goodell St Ste 340
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1243
- Practice Country
- US
- Practice Phone
- (716) 645-9700
- Enumeration Date
- April 02, 2020
- Last Updated
- November 21, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)