Individual
PRERNA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB10829100
NJ
208000000X
Pediatrics Physician
OS20801
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
07/02/2017
Last updated
04/03/2024
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