Individual
SHRUTI A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
670 N BEERS ST STE 4, HOLMDEL, NJ 07733-1543
(732) 665-6492
Mailing address
670 N BEERS ST STE 4, HOLMDEL, NJ 07733-1543
(732) 665-6492
(844) 649-6694
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08317800
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08317800
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA08317800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209015
—
NJ
01
—
P00953302
RR MCR PTAN
NJ
01
—
P00953311
RR MCR PTAN
NJ
Enumeration date
07/30/2009
Last updated
10/14/2025
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