Provider Demographics
NPI:1811325681
Name:SHAH, SHIKHA
Entity type:Individual
Prefix:
First Name:SHIKHA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 ROUTE 9 STE 11
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4987
Mailing Address - Country:US
Mailing Address - Phone:845-297-3200
Mailing Address - Fax:845-297-9466
Practice Address - Street 1:1207 ROUTE 9 STE 11
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4987
Practice Address - Country:US
Practice Address - Phone:845-297-3200
Practice Address - Fax:845-297-9466
Is Sole Proprietor?:No
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62035831225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist