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Individual
MANAN SHAH
Active
Individual
MANAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11044100
NJ
208000000X
Pediatrics Physician
35.133449
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA11044100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/11/2015
Last updated
06/01/2026
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