Individual
DR. SAMIR V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BOWMAN DR STE D285, VOORHEES, NJ 08043-9626
(856) 576-5746
(856) 519-5295
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5187
(914) 333-5801
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA07205600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072857000
AMERIHEALTH
NJ
01
—
134233377
HORIZON
NJ
01
—
3321541
AETNA
NJ
05
—
8622604
—
NJ
Enumeration date
06/22/2005
Last updated
02/20/2025
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