# DR. SUKEN A. SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932291788
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C10005900 | DE | Yes |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | C10005900 | DE | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | MD060167L | PA | — |
| 2080S0010X | Pediatric Sports Medicine Physician | MA07075000 | NJ | — |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 05/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001794028 | — | PA |
| 05 | — | 1112201 | — | MD |
| 05 | — | 20002251 | — | NH |
| 05 | — | 2002247000 | — | WV |
| 05 | — | 2119139 | — | NY |
| 05 | — | 7612086 | — | NC |
| 05 | — | 8205604 | — | NJ |