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NPI Code Detail

MEDICARE: DR. NRUPA SHAH M.D.

MEDICARE: DR. NRUPA SHAH M.D.
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
1207R00000XInternal Medicine PhysicianMA70200NJ

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 : 1407998784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NRUPA SHAH M.D.
Provider Business Mailing Address
First Line : 14 RICHLAND DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-9610
Country : US
Telephone Number : 856-787-1840
Fax Number : 856-778-5676
Provider Business Practice Location Address
First Line : 601 HAMILTON AVE
Second Line : SAINT FRANCIS MEDICAL CENTER- DEPARTMENT OF MEDICINE
City : TRENTON
State : NJ
Zip : 08629-1915
Country : US
Telephone Number : 609-599-5000
Fax Number : 609-599-6232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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