National Provider Identifier
Shah Bano
Shah Bano is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 252-3457.
Profile Overview
- NPI
- 1952196735
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 11, 2025
- Last Updated
- December 08, 2025
Practice Location
- 101 Dates Drive, Ithaca Ny 14850,Cayuga Medical Center
- Ithaca, NY 14850
Phone: (607) 252-3457
Mailing Address
- 101 Dates Drive, Ithaca Ny 14850, Internal Medicine Res
- Ithaca, NY 14850
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1952196735
- Entity Type
- Individual
- Last Name
- Bano
- First Name
- Shah
- Mailing Street Address
- 101 Dates Drive, Ithaca Ny 14850, Internal Medicine Res
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 252-3457
- Practice Street Address
- 101 Dates Drive, Ithaca Ny 14850,Cayuga Medical Center
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 252-3457
- Enumeration Date
- April 11, 2025
- Last Updated
- December 08, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)