SYED JIBRAN SHAH D.O
NPI 1518385269
Family Medicine in Ithaca, NY

Q: What is Syed Shah's NPI number?

The NPI number for Syed Shah is 1518385269. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Q: What is Syed Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Syed Shah was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2014

1780 HANSHAW RD, ITHACA, NY 14850(607) 257-5858(607) 257-1718 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 30, 2017 (2 updates tracked since 2017).

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About Syed Jibran Shah D.o NPPES

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

SYED JIBRAN SHAH D.O (NPI 1518385269) is an individual family medicine provider in Ithaca, New York, licensed in New York (289028) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1518385269

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSYED JIBRAN SHAHCredential: D.O

Location Address1780 HANSHAW RDIthaca, NY 14850-9105

Mailing AddressOne Guthrie SquareSayre, PA 18840-1625 · (570) 888-5858

Phone(607) 257-5858

Fax(607) 257-1718

Sole ProprietorNo

Enumeration DateMarch 31, 2014

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1518385269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 289028

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1780 HANSHAW RD, Ithaca, NY 14850

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Other Providers at the Same Location NPPES 20

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

DR. DAVID ERIC RISTEDT M.D.

Family Medicine