Individual
KEKUL B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 PRINCESS RD, SUITE 101, LAWRENCEVILLE, NJ 08648-2322
(609) 896-1414
(609) 896-2982
Mailing address
4 PRINCESS RD, SUITE 101, LAWRENCEVILLE, NJ 08648-2322
(609) 896-1414
(609) 896-2982
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07781300
NJ
207W00000X
Ophthalmology Physician
44604-020
WI
207W00000X
Ophthalmology Physician
MD 424214
PA
Other
Enumeration date
06/09/2006
Last updated
07/27/2010
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