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1730970310 NPI number — NANDAN SHAH

NPI Number: 1730970310
Health Care Provider/Practitioner: NANDAN SHAH

Information about “1730970310” NPI (NANDAN SHAH) exists in 1730970310 in HTML format HTML  |  1730970310 in plain Text format TXT  |  1730970310 in PDF (Portable Document Format) PDF  |  1730970310 in an XML format XML  formats.

NPI Number : 1730970310 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730970310",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAH",
    "FirstName": "NANDAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "SAINT CLAIRE'S HEALTH",
    "SecondLineMailingAddress": "25 POCONO ROAD GME OFFICE, 2ND FLOOR C-WING,",
    "MailingAddressCityName": "DENVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-625-6000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "SAINT CLAIRE'S HEALTH",
    "SecondLinePracticeLocationAddress": "25 POCONO ROAD GME OFFICE, 2ND FLOOR C-WING,",
    "PracticeLocationAddressCityName": "DENVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07834",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-625-6000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2025",
    "LastUpdateDate": "02/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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