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Individual

SHITAL SHAH

Active
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Individual

SHITAL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
214028
MA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08249100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0188131
NJ
Enumeration date
06/16/2006
Last updated
05/05/2009
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