Shah Primary Care | |
1680 Rte 23 Ste 160 Wayne NJ 07470-7512 | |
(973) 221-2500 | |
Not Available |
Full Name | Shah Primary Care |
---|---|
Speciality | Internal Medicine |
Location | 1680 Rte 23 Ste 160, Wayne, New Jersey |
Authorized Official Name and Position | Shipra Shah (OWNER) |
Authorized Official Contact | 9732212500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shah Primary Care 1680 Rte 23 Ste 160 Wayne NJ 07470-7512 Ph: (973) 221-2500 | Shah Primary Care 1680 Rte 23 Ste 160 Wayne NJ 07470-7512 Ph: (973) 221-2500 |
NPI Number | 1750056644 |
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Provider Enumeration Date | 08/12/2021 |
Last Update Date | 08/16/2021 |
Medicare PECOS PAC ID | 7012312481 |
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Medicare Enrollment ID | O20210823002705 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750056644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shipra Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154689156 PECOS PAC ID: 3476868407 Enrollment ID: I20150819008276 |
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