Individual
PRADIP A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1964 OAK TREE RD, EDISON, NJ 08820-2016
(732) 635-0050
(732) 635-0051
Mailing address
1964 OAK TREE RD, EDISON, NJ 08820-2016
(732) 635-0050
(732) 635-0051
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA57551
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6068405
—
NJ
Enumeration date
07/14/2006
Last updated
06/23/2015
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