Individual
DINA B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35-37 PROGRESS STREET, STE AA5, EDISON, NJ 08820
(908) 753-0100
(908) 668-0777
Mailing address
35-37 PROGRESS STREET, STE AA5, EDISON, NJ 08820
(908) 753-0100
(908) 668-0777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03367800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033678NJ01
ANTHEM
—
01
—
0111944000
AMERIHEALTH
—
01
—
050882
VALUE OPTION
—
01
—
061511
MAGELLAN
—
01
—
3196609
GHI BMP
—
05
—
3757005
—
NJ
01
—
60198
CIGNA
—
01
—
86877
PHCS
—
01
—
P1222755
OXFORD
—
01
—
P44285496
MULTIPLAN
—
Enumeration date
08/01/2006
Last updated
07/08/2007
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