Provider Demographics
NPI:1356351514
Name:SHEIN, RUVAN R (MD)
Entity type:Individual
Prefix:DR
First Name:RUVAN
Middle Name:R
Last Name:SHEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RUVAN
Other - Middle Name:R
Other - Last Name:SHEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:145 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-725-5300
Mailing Address - Fax:212-725-5590
Practice Address - Street 1:145 E 32ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-725-5300
Practice Address - Fax:212-725-5590
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135184207RG0100X, 207R00000X, 193200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193200000XGroupMulti-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC07092Medicare UPIN