Individual
DR. SIDDHARTH A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
817 INMAN AVE, EDISON, NJ 08820-1378
(732) 222-2332
(908) 282-3615
Mailing address
817 INMAN AVE, EDISON, NJ 08820-1378
(732) 222-2332
(908) 282-3615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
242320
NY
207RP1001X
Pulmonary Disease Physician
242320
NY
207RP1001X
Pulmonary Disease Physician
Primary
25MA10131400
NJ
207RP1001X
Pulmonary Disease Physician
50473
KY
207RP1001X
Pulmonary Disease Physician
E7312
AR
207RP1001X
Pulmonary Disease Physician
TP854
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0891631
—
NJ
05
—
185729001
—
AR
Enumeration date
12/06/2006
Last updated
08/08/2023
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