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Individual
DR. REZA ALI SHAH
Active
Individual
DR. REZA ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MB06764700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203985484
TAX ID
NJ
01
—
2039854840
HORIZON
NJ
01
—
2690963000
AMERIHEALTH
NJ
01
—
3K2190
HEALTHNET
NJ
01
—
5727757
AETNA
NJ
01
—
60032148
HORIZON NJ HEALTH
NJ
01
—
7180223002
CIGNA
NJ
01
—
7279755
UNITED HEALTHCARE
NJ
05
—
7947801
—
NJ
01
—
P1626337
OXFORD
NJ
Enumeration date
05/24/2006
Last updated
06/24/2008
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