Individual
HEMANGINI R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 978-2194
(609) 978-2843
Mailing address
PO BOX 841180, DALLAS, TX 75284-1180
(609) 978-2194
(609) 978-2843
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
220128
NY
2085R0001X
Radiation Oncology Physician
Primary
25MB06306300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02136496
—
NY
05
—
0219347
—
NJ
01
—
220128
NYS LICENSE
NY
Enumeration date
07/25/2006
Last updated
06/28/2021
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