| Mehul N Shah Md Pa | |
|
90 Farbrook Dr Short Hills NJ 07078-3007 | |
| (973) 376-2121 | |
| (973) 467-0150 |
| Full Name | Mehul N Shah Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 90 Farbrook Dr, Short Hills, New Jersey |
| Authorized Official Name and Position | Mehul N Shah (M.D.) |
| Authorized Official Contact | 9733762121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehul N Shah Md Pa 116 Millburn Ave Millburn NJ 07041-1943 Ph: (973) 376-2121 | Mehul N Shah Md Pa 90 Farbrook Dr Short Hills NJ 07078-3007 Ph: (973) 376-2121 |
| NPI Number | 1639359300 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 5193796464 |
|---|---|
| Medicare Enrollment ID | O20040802001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639359300 | NPI | - | NPPES |
| 4590007 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04839600 (New Jersey) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA04839600 (New Jersey) | Primary |
| Provider Name | Mehul N Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427119247 PECOS PAC ID: 3274504592 Enrollment ID: I20040802000945 |
| Provider Name | Shail Shrenikbhai Sheth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538578018 PECOS PAC ID: 8022383991 Enrollment ID: I20210916003513 |
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