Individual
MAHENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
416 BELLEVUE AVE, STE 104, TRENTON, NJ 08618-4513
(609) 396-4700
Mailing address
416 BELLEVUE AVE, SUITE 104, TRENTON, NJ 08618-4513
(609) 396-4700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04582400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6457401
—
NJ
Enumeration date
07/31/2006
Last updated
10/01/2008
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