DR. PANNA SHAH M.D.
NPI 1003989492
Family Medicine in Patchogue, NY

Active since November 16, 2006
504 MEDFORD AVE, PATCHOGUE, NY 11772(631) 475-4646(631) 447-5234 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Panna Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PANNA SHAH M.D. (NPI 1003989492) is an individual family medicine provider in Patchogue, New York, licensed in New York (141032-1) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003989492
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PANNA SHAHCredential: M.D.
Location Address504 MEDFORD AVEPatchogue, NY 11772-1321
Mailing Address504 Medford AvePatchogue, NY 11772-1321 · (631) 475-4646 · Fax (631) 447-5234
Fax(631) 447-5234
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003989492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 141032-1
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

504 MEDFORD AVE, Patchogue, NY 11772

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
504 MEDFORD AVE
PATCHOGUE, NY 11772
Internal Medicine
504 MEDFORD AVE
PATCHOGUE, NY 11772
Internal Medicine
504 MEDFORD AVE
PATCHOGUE, NY 11772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panna Shah's NPI number?

The NPI number for Panna Shah is 1003989492. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Panna Shah located?

Panna Shah practices at 504 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 475-4646.

What is Panna Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Panna Shah was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.