Individual
PRANAV N SHAH
Active
Individual
PRANAV N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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