Individual
PRANAV N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 RIVERVIEW PLZ, RED BANK, NJ 07701-1863
(732) 747-1429
(732) 747-4778
Mailing address
6 RIVERVIEW PLZ, RED BANK, NJ 07701-1863
(732) 747-1429
(732) 747-4778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA59610
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007710377
AETNA POS
NJ
01
—
1165209
HORIZON/MERCY
NJ
01
—
2011112
UNITED HEALTHCARE
NJ
01
—
2121288000
AMERIHEALTH
NJ
01
—
3000957
AETNA HMO
NJ
01
—
3629272
AETNA HMO
NJ
01
—
4099586
GHI
NJ
01
—
651U51
WELLCHOICE
NJ
05
—
8642800
—
NJ
01
—
9012122-006
CIGNA
NJ
01
—
913160
USA MANAGED CARE
NJ
01
—
94356
AMERIGROUP
NJ
01
—
P00053557
RR MEDICARE
NJ
Enumeration date
09/19/2005
Last updated
07/16/2007
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