Individual
DHANVANTI B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 MULE RD UNIT B4, TOMS RIVER, NJ 08755-5037
(732) 341-0020
(732) 341-0072
Mailing address
25 MULE RD, UNIT B4, TOMS RIVER, NJ 08755-5037
(732) 341-0020
(732) 341-0072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03965600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067431
MEDICARE PROVIDER #
NJ
Enumeration date
07/19/2006
Last updated
09/16/2016
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