Individual
DR. NIRAV R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
58 NICOLE DR, DENVILLE, NJ 07834-9531
(973) 570-2996
Mailing address
58 NICOLE DR, DENVILLE, NJ 07834-9531
(973) 570-2996
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P76213
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
P76213
NY
Other
Enumeration date
11/10/2011
Last updated
12/16/2019
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