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Panna Shah, M.D.
NPI 1003989492 · Family Medicine Physician · Patchogue, NY
Panna Shah, M.D. is a Family Medicine Physician provider in Patchogue, NY (NPI 1003989492).
Provider details
- NPI number
- 1003989492
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 141032-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
504 Medford Ave
Patchogue, NY 11772-1321
Phone: (631) 475-4646
Fax: (631) 447-5234
Street-level locationGet directions
Mailing address
504 Medford Ave
Patchogue, NY 11772-1321
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Panna Shah's NPI number?
- Panna Shah's National Provider Identifier (NPI) is 1003989492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Panna Shah's specialty?
- Panna Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Panna Shah located?
- Panna Shah's practice location on file with NPPES is 504 Medford Ave, Patchogue, NY 11772-1321.
- What is Panna Shah's phone number?
- The practice phone number listed in the NPPES registry for Panna Shah is (631) 475-4646.
- Is Panna Shah's NPI active?
- Yes — Panna Shah's NPI (1003989492) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.