National Provider Identifier

Punik Shah, DO

Punik Shah, DO is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Rochester, NY and a listed phone number of (585) 922-5067.

NPI 1659993905Rochester, NYEmergency Medicine Physician

Profile Overview

NPI
1659993905
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
May 09, 2020
Last Updated
December 10, 2024

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-5067

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1659993905
Entity Type
Individual
Last Name
Shah
First Name
Punik
Credential
DO
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-5067
Enumeration Date
May 09, 2020
Last Updated
December 10, 2024
Sex
Male
Sole Proprietor
No
Certification Date
December 10, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)