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Individual

NIRAV N SHAH

Active
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Individual

NIRAV N SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MB08017800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0157481
NJ
01
6932758
AETNA HEALTH PLANS HMO
NJ
01
9958326
AETNA HEALTH PLANS PPO
NJ
01
P00746572
RR MEDICARE
NJ
01
P00801247
MEDICARE RAILROAD CARRIER
NJ
Enumeration date
05/25/2007
Last updated
04/06/2010
Update your record

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