Provider Demographics
NPI:1104981000
Name:SHAH, SEJAL GOHEL (MD)
Entity type:Individual
Prefix:
First Name:SEJAL
Middle Name:GOHEL
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SEJAL
Other - Middle Name:PRAVIN
Other - Last Name:GOHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:39 YORK RD
Mailing Address - Street 2:WINDSOR PONDS
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3287
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:514 ROUTE 33 WEST
Practice Address - Street 2:SUITE 6
Practice Address - City:MILLSTONE
Practice Address - State:NJ
Practice Address - Zip Code:08535
Practice Address - Country:US
Practice Address - Phone:732-851-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233598 1207R00000X
NJ25MA08706200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine