Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Indravadan C Shah, MD

Individual provider Family Medicine Physician · NPI 1467537746

Dr. Indravadan C Shah, MD is a Family Medicine Physician in Great Neck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

454 E Shore Rd
Great Neck, NY 11024-1540
Phone: (516) 487-3924
Fax: (516) 487-3924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 110048 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 110048 (NY)

Record details

NPI number1467537746
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESSeptember 11, 2025

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