Individual
RAHI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
287 WOOD AVE, EDISON, NJ 08820-2802
(732) 604-1163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
032261
NY
363A00000X
Physician Assistant
Primary
25MP00877200
NJ
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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