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Individual
ROSHAN SURESHCHANDRA SHAH
Active
Individual
ROSHAN SURESHCHANDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11088200
NJ
207R00000X
Internal Medicine Physician
Primary
94653
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/26/2018
Last updated
08/11/2025
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