Individual
DR. SUKEN A. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5951
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C10005900
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
C10005900
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD060167L
PA
2080S0010X
Pediatric Sports Medicine Physician
MA07075000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001794028
—
PA
05
—
1112201
—
MD
05
—
20002251
—
NH
05
—
2002247000
—
WV
05
—
2119139
—
NY
05
—
7612086
—
NC
05
—
8205604
—
NJ
Enumeration date
09/29/2006
Last updated
05/15/2013
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