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Individual

SUNJAY A SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4701 OGLETOWN STANTON RD, STE 1109, NEWARK, DE 19713-2079
(302) 623-4800
(302) 623-4850
Mailing address
PO BOX 12870, WILMINGTON, DE 19850-2870
(302) 733-0374
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C1-0006137
DE
2085R0001X
Radiation Oncology Physician
D0057797
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001078201
DE
05
001676893
PA
01
033941560
PRIORITY PARTNERS
MD
05
780600100
MD
01
920006151
RAILROAD MEDICARE
DE
Enumeration date
06/16/2006
Last updated
08/30/2012
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