Provider Demographics
NPI:1326883935
Name:SHAH, YASH NILESH
Entity type:Individual
Prefix:
First Name:YASH
Middle Name:NILESH
Last Name:SHAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MONTAUK HIGHWAY, GOOD SAMARITAN UNIVERSITY HOSPITA
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795
Mailing Address - Country:US
Mailing Address - Phone:631-376-3000
Mailing Address - Fax:631-376-3420
Practice Address - Street 1:4295 HEMPSTEAD TURNPIKE, ST. JOSEPH HOSPITAL
Practice Address - Street 2:
Practice Address - City:BEHTPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714
Practice Address - Country:US
Practice Address - Phone:516-520-2538
Practice Address - Fax:516-520-2728
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program