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Individual
SURANGI SHAH
Active
Individual
SURANGI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01489100
NJ
225100000X
Physical Therapist
Primary
PT033210
PA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40QA01489100
—
NJ
Enumeration date
09/12/2021
Last updated
09/12/2025
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