National Provider Identifier
Siddhartha S Shah, M.D.
Siddhartha S Shah, M.D. is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Williamsville, NY and a listed phone number of (716) 626-5250.
Profile Overview
- NPI
- 1841276763
- Provider Type
- Individual
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- December 22, 2005
- Last Updated
- December 06, 2013
Practice Location
- 60 Maple RD
- Ste 1
- Williamsville, NY 14221-2917
Phone: (716) 626-5250
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1841276763
- Entity Type
- Individual
- Last Name
- Shah
- First Name
- Siddhartha
- Middle Name
- S
- Credential
- M.D.
- Mailing Street Address
- 60 Maple RD
- Mailing Address Line 2
- Ste 1
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2917
- Mailing Country
- US
- Mailing Phone
- (716) 626-5250
- Mailing Fax
- (716) 332-2218
- Practice Street Address
- 60 Maple RD
- Practice Address Line 2
- Ste 1
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2917
- Practice Country
- US
- Practice Phone
- (716) 626-5250
- Practice Fax
- (716) 332-2218
- Enumeration Date
- December 22, 2005
- Last Updated
- December 06, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)
- Other Identifiers
- 100013189 (NY, Railroad Nedicare), 153030BT (NY, Preferred Care), 00010162901 (NY, Univera), 000511391004 (NY, Blue Cross Of Wny), 2307716 (NY, Independent Health), 2499566 (NY, Ghi), 01339624 (NY), 5289777 (NY, Aetna), 040426001814 (NY, Fidelis)