Individual
PRERNA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1001 LAUREL OAK RD STE B, VOORHEES, NJ 08043-3512
(856) 782-7400
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378
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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