Provider Demographics
NPI:1932388931
Name:SHAH, NEHABAHEN V (MD)
Entity type:Individual
Prefix:DR
First Name:NEHABAHEN
Middle Name:V
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2141 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1044
Mailing Address - Country:US
Mailing Address - Phone:732-516-0707
Mailing Address - Fax:732-516-0088
Practice Address - Street 1:2141 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1044
Practice Address - Country:US
Practice Address - Phone:732-516-0707
Practice Address - Fax:732-516-0088
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08231700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117065Medicare PIN