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Individual
NISHA SHAH
Active
Individual
NISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024537-01
NY
363AM0700X
Medical Physician Assistant
25MP00458100
NJ
Other
Enumeration date
12/08/2017
Last updated
04/26/2023
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