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Individual
DR. NISHA SHAH
Active
Individual
DR. NISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00319900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00319900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736309
—
NJ
01
—
1346659802
INDIVIDUAL NPI
NJ
01
—
7820240002
DMERC
NJ
Enumeration date
08/10/2014
Last updated
08/09/2022
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