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SUDHA R SHAH MD PC
NPI 1164791190
Clinic/Center - Primary Care in Brooklyn, NY

Active since December 20, 2011
3860 KINGS HWY, #1, BROOKLYN, NY 11234(718) 252-5550(718) 258-1768 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sudha R Shah Md Pc NPPES

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

SUDHA R SHAH MD PC (NPI 1164791190) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since December 2011. The organization lists Sudha R Shah, President, as its authorized official.

NPPES Registry Identity

NPI1164791190
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUDHA R SHAH MD PC
Location Address3860 KINGS HWY, #1Brooklyn, NY 11234-2907
Mailing Address3860 Kings Hwy, #1Brooklyn, NY 11234-2907 · (718) 252-5550 · Fax (718) 258-1768
Phone(718) 252-5550
Fax(718) 258-1768
Organization SubpartNo
Authorized OfficialSudha R ShahPresident · (718) 252-5550
Enumeration DateDecember 20, 2011
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1164791190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 133672
3860 KINGS HWY, Brooklyn, NY 11234
Open in Google Maps ↗

Other Identifiers 1

Medicaid00346814NY

Other Providers at the Same Location NPPES

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

SUDHA R SHAH
Family Medicine
3860 KINGS HWY
BROOKLYN, NY 11234
Kings County (718) 252-5550

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 Sudha R Shah MD PC's NPI number?

The NPI number for Sudha R Shah MD PC is 1164791190. It was assigned to this organization in the NPPES registry on December 20, 2011.

Where is Sudha R Shah MD PC located?

Sudha R Shah MD PC is located at 3860 Kings Hwy #1, Brooklyn, NY 11234. The listed phone number is (718) 252-5550.

What is Sudha R Shah MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Sudha R Shah MD PC was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.