Individual
DR. HINNA EHSANULLAH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 BROADWAY FL 10, NEW YORK, NY 10018-3496
(732) 786-3793
Mailing address
901 W MAIN ST, BLDG A, SUITE 367, FREEHOLD, NJ 07728-2537
(732) 786-3793
(732) 845-5407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08883200
NJ
Other
Enumeration date
02/17/2011
Last updated
05/06/2020
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