Individual
DR. KAMALESH R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
(201) 453-2800
Mailing address
9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
(201) 453-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05689400
NJ
207R00000X
Internal Medicine Physician
MA056894
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6183204
—
NJ
Enumeration date
09/14/2005
Last updated
11/30/2016
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