| Prakash Shah Md Inc | |
|
185 Roseberry St Warren Hospital Phillipsburg NJ 08865-1690 | |
| (610) 258-4891 | |
| (610) 258-4836 |
| Full Name | Prakash Shah Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 185 Roseberry St, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Prakash N Shah (PRESIDENT) |
| Authorized Official Contact | 6107627272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash Shah Md Inc 247 W Milton St Easton PA 18042-6689 Ph: (610) 258-4891 | Prakash Shah Md Inc 185 Roseberry St Warren Hospital Phillipsburg NJ 08865-1690 Ph: (610) 258-4891 |
| NPI Number | 1154510063 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 9234029885 |
|---|---|
| Medicare Enrollment ID | O20040317000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154510063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Prakashchandra N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609897065 PECOS PAC ID: 6204726912 Enrollment ID: I20040317000550 |
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