National Provider Identifier

Sapan Shah, M.D.

Sapan Shah, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Ithaca, NY and a listed phone number of (607) 428-8004.

NPI 1922493097Ithaca, NYAnesthesiology Physician

Profile Overview

NPI
1922493097
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
April 05, 2015
Last Updated
June 16, 2020

Practice Location

  • 1301 Trumansburg RD
  • Ithaca, NY 14850-1397

Phone: (607) 428-8004

Mailing Address

  • 30 Morning Glory Ln
  • Edison, NJ 08820-4428

Specialties

  • Anesthesiology Physician (207L00000X)
Full Record
NPI
1922493097
Entity Type
Individual
Last Name
Shah
First Name
Sapan
Credential
M.D.
Mailing Street Address
30 Morning Glory Ln
Mailing City
Edison
Mailing State
NJ
Mailing ZIP Code
08820-4428
Mailing Country
US
Practice Street Address
1301 Trumansburg RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1397
Practice Country
US
Practice Phone
(607) 428-8004
Enumeration Date
April 05, 2015
Last Updated
June 16, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
June 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)