Provider Demographics
NPI:1427122084
Name:SHAH, ASMA AFTAB (MD)
Entity type:Individual
Prefix:DR
First Name:ASMA
Middle Name:AFTAB
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218A SUNSET RD
Mailing Address - Street 2:LOURDES MEDICAL CENTER OF BURLINGTON CO.
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1110
Mailing Address - Country:US
Mailing Address - Phone:609-835-2900
Mailing Address - Fax:856-566-6906
Practice Address - Street 1:218A SUNSET RD
Practice Address - Street 2:LOURDES MEDICAL CENTER OF BURLINGTON CO.
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1110
Practice Address - Country:US
Practice Address - Phone:609-835-2900
Practice Address - Fax:856-566-6906
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32290207R00000X
NJ25MA08856200208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200450410AMedicaid
KS106623OtherMEDICARE