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

Syed Jibran Shah, DO

Individual provider Family Medicine Physician · NPI 1518385269

Syed Jibran Shah, DO is a Family Medicine Physician in Ithaca, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1780 Hanshaw Rd
Ithaca, NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
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 289028 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518385269
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESJuly 21, 2022
Mailing addressOne Guthrie Square, Sayre, PA 18840-1625

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