Individual
DR. CANDICE E SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1673 S STATE ST STE A, DOVER, DE 19901-5148
(302) 724-5125
(302) 380-4778
Mailing address
1673 S STATE ST, STE A, DOVER, DE 19901-5148
(302) 724-5125
(302) 380-4778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0008211
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042790
—
NJ
Enumeration date
02/15/2006
Last updated
10/25/2017
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