National Provider Identifier
Syed Jibran Shah, D.O
Syed Jibran Shah, D.O is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 257-5858.
Source: public NPPES record, last updated July 21, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1518385269
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 31, 2014
- Last Updated
- July 21, 2022
Practice Location
- 1780 Hanshaw RD
- Ithaca, NY 14850-9105
Phone: (607) 257-5858
Mailing Address
- One Guthrie Square
- Sayre, PA 18840-1625
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Browse Similar Providers
See more Family Medicine providers in Ithaca, NY.
Biography
Syed Shah, DO, is a family medicine physician in Ithaca, New York, practicing at Guthrie’s Ithaca Hanshaw Road Family Medicine clinic. Within Guthrie, family medicine includes preventive care, acute visits, and ongoing management of chronic conditions across ages and stages of life. (providers.guthrie.org)
His professional profile lists a Doctor of Osteopathic Medicine degree from Touro College of Osteopathic Medicine in 2014 and a family medicine residency at Robert Packer Hospital/Guthrie from 2014 to 2017. (doximity.com)
Full Record
- NPI
- 1518385269
- Entity Type
- Individual
- Last Name
- Shah
- First Name
- Syed
- Middle Name
- Jibran
- Credential
- D.O
- Mailing Street Address
- One Guthrie Square
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 1780 Hanshaw RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9105
- Practice Country
- US
- Practice Phone
- (607) 257-5858
- Practice Fax
- (607) 257-1718
- Enumeration Date
- March 31, 2014
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)