Organization
CHETAN S SHAH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHETAN SHAH (PHYSICIAN)
(609) 895-6655
Entity
Organization
Contact information
Practice address
3100 PRINCETON PIKE, BLDG 4, LAWRENCEVILLE, NJ 08648-2300
(609) 895-6655
Mailing address
1 CARDIFF CT, WEST WINDSOR, NJ 08550-3268
(609) 895-6655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550481000
AMERIHEALTH
—
01
—
1K2428
HEALTHNET
—
01
—
P1956510
OXFORD
—
Enumeration date
11/19/2007
Last updated
08/13/2009
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