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Individual

SHAH NADEEM

Active
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Individual

SHAH NADEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101243101
VA
2084P0800X
Psychiatry Physician
046357
CT
2084P0800X
Psychiatry Physician
24263
WV
2084P0800X
Psychiatry Physician
42986
KY
2084P0800X
Psychiatry Physician
C10008633
DE
2084P0802X
Addiction Psychiatry Physician
0101243101
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810016879
WV
05
71000104370
KY
Enumeration date
12/11/2007
Last updated
04/09/2024
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