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NPI Code Detail

MEDICARE: DR. DHIREN A SHAH MD

MEDICARE:  DR. DHIREN A SHAH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician25MA07639300NJ
2207RP1001XPulmonary Disease Physician25MA07639300NJ
3207RS0012XSleep Medicine (Internal Medicine) Physician25MA07639300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356337810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DHIREN A SHAH MD
Provider Business Mailing Address
First Line : 3 PLAZA DR
Second Line : SUITE 2
City : TOMS RIVER
State : NJ
Zip : 08757-3756
Country : US
Telephone Number : 732-341-1380
Fax Number : 732-505-9296
Provider Business Practice Location Address
First Line : 3 PLAZA DR
Second Line : SUITE 2
City : TOMS RIVER
State : NJ
Zip : 08757-3756
Country : US
Telephone Number : 732-341-1380
Fax Number : 732-505-9296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 12/22/2014

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Directions to “ DR. DHIREN A SHAH MD” Practice Location

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