Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Bala Shan

Individual provider Pharmacist · NPI 1093931206

Mr. Bala Shan is a Pharmacist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

4580 Broadway 5J
New York, NY 10040-2105 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 304-1802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 040906 (NY)

Record details

NPI number1093931206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 8, 2007

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