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NPI Code Detail

MEDICARE: DR. MILIND NARENDRA SHAH M.D.

MEDICARE:  DR. MILIND NARENDRA 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
12083X0100XOccupational Medicine Physician25MA07453700NJ
2207R00000XInternal Medicine Physician25MA07453700NJ

General Provider Information

NPI Number : 1538361290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MILIND NARENDRA SHAH M.D.
Provider Business Mailing Address
First Line : 11 BISHOP PL
Second Line :
City : NEW BRUNSWICK
State : NJ
Zip : 08901-1178
Country : US
Telephone Number : 732-516-9741
Fax Number : 732-516-9741
Provider Business Practice Location Address
First Line : 2000 GALLOPING HILL RD
Second Line : BUILDING K-16
City : KENILWORTH
State : NJ
Zip : 07033-1310
Country : US
Telephone Number : 908-298-2835
Fax Number : 908-298-2834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 02/09/2016

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