Individual
BANKIM D SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MULE RD UNIT B4, TOMS RIVER, NJ 08755-5037
(732) 341-0020
(732) 341-0072
Mailing address
25 MULE RD UNIT B4, TOMS RIVER, NJ 08755-5037
(732) 341-0020
(732) 341-0072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03582500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067431
MEDICARE PROVIDER #
—
Enumeration date
07/25/2006
Last updated
04/08/2019
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