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

Dr. Mahendra G. Shah, MD

Individual provider Family Medicine Physician · NPI 1215020011

Dr. Mahendra G. Shah, MD is a Family Medicine Physician in Wading River, New York. Practices as a sole proprietor. Licensed in New York.

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

See every abbreviation used in this directory →

Practice location Address checks out

1866 Wading River Manor Rd
Wading River, NY 11792
Phone: (631) 929-8787
Fax: (631) 929-0350
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 136332 (NY)

Record details

NPI number1215020011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 21, 2011

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