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Individual
DR. SHRENIK G SHAH
Active
Individual
DR. SHRENIK G SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA 44420
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318777
1922435585
NJ
01
—
463751473
TAX ID
NJ
05
—
4699106
—
NJ
Enumeration date
06/10/2006
Last updated
04/06/2017
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