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

Shivendra Shah, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225922107

Shivendra Shah, MD is a Student in an Organized Health Care Education/Training Program in Binghamton, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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

1042 Mitchell Ave # 42
Binghamton, NY 13903-1678
Phone: (607) 762-2990
Fax: (607) 762-2639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1225922107
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address33-57 Harrison St, Johnson City, NY 13790-2174

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