Individual
SATISH P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 E CHESTNUT AVE, BUILDING 4, SUITE A, VINELAND, NJ 08361-8467
(856) 794-8664
(856) 794-2671
Mailing address
401 CLARKTOWN RD, MAYS LANDING, NJ 08330-1606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA31783
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082708000
AMERIHEALTH
NJ
01
—
1156715
HORIZON NJ HEALTH
NJ
05
—
1877500
—
NJ
01
—
300127243
RAILROAD MEDICARE
NJ
Enumeration date
06/07/2006
Last updated
08/06/2014
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