Individual
MS. KIMI SUDHIR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 HADDENFIELD RD, CLIFTON, NJ 07013-3907
(973) 510-3809
Mailing address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00657600
NJ
Other
Enumeration date
08/01/2016
Last updated
03/14/2017
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