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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104386804

Dr. Payal M Shah, MD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
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

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone: (718) 918-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 Lyons Ave, Newark, NJ 07112-2027 — (973) 926-7471

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA11480800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104386804
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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