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Individual
DR. NIRAJ SHASHIKANT SHAH
Active
Individual
DR. NIRAJ SHASHIKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NS067271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F323170
BC
—
01
—
383620693
PPOM
—
01
—
C6558
M CARE
—
01
—
G37578
HAP
—
01
—
P00032634
PALMETTO
—
Enumeration date
10/26/2005
Last updated
10/08/2010
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