Individual
DR. NISHANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9135
Mailing address
9 DOYLE RD, MATAWAN, NJ 07747-9604
(908) 596-0556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
247379-1
NY
207P00000X
Emergency Medicine Physician
25MA08063900
NJ
Other
Enumeration date
06/09/2006
Last updated
04/16/2012
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