Individual
SHIVANI SHAH
Active
Individual
SHIVANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB12401300
NJ
207R00000X
Internal Medicine Physician
OT019306
PA
207RR0500X
Rheumatology Physician
Primary
25MB12401300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031333
—
NJ
Enumeration date
06/17/2019
Last updated
07/13/2026
Update your record
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