MEDICARE: DR. HIMANSHU PANALAL 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
1	207QS1201X	Sleep Medicine (Family Medicine) Physician	25MA05574700	NJ
2	207RP1001X	Pulmonary Disease Physician	25MA05574700	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1578666764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIMANSHU PANALAL SHAH MD

Provider Business Mailing Address
First Line	:	96 MILLBURN AVE
Second Line	:	SUITE 200A
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1944
Country	:	US
Telephone Number	:	973-763-6800
Fax Number	:	973-763-1255

Provider Business Practice Location Address
First Line	:	96 MILLBURN AVE
Second Line	:	SUITE 200A
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1944
Country	:	US
Telephone Number	:	973-763-6800
Fax Number	:	973-763-1255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	02/27/2026

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