| | Physician Last Name: | Shah |
| | Physician First Name: | Samirkumar |
| | Physician Middle Name: | J. |
| | Address: | 5756 Hartford & Pointville Road,
Joint Base MDL, New Jersey 08640 |
| | License Number: | 251960 |
| | License Type: | MD |
| | Year of Birth: |
1963
|
| | Effective Date: | 12/22/2022 |
| | Action Description for DOH Webpage: | License revocation. The Administrative Review Board affirmed the Hearing Committee’s determination to revoke the physician’s New York State medical license. |
| | Misconduct Description for DOH Webpage: | The Administrative Review Board affirmed the Hearing Committee’s June 15, 2022 determination and order finding the physician guilty of committing professional misconduct by having been convicted in the United States District Court for the Western District of Pennsylvania of Knowingly and Willfully Executing and Attempting to Execute a Scheme to Defraud Health Care Benefit Programs (two county), a felony. Previously on November 17, 2021, the physician’s New York State medical license was suspended by the New York State Commissioner of Health. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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