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Individual
PRATIK SHAH
Active
Individual
PRATIK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA13211100
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
D89673
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/10/2015
Last updated
08/12/2026
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