| Dr Pooja P Shah Mdpc Inc | |
|
1964 Oak Tree Rd Ste B Edison NJ 08820-2016 | |
| (732) 331-4943 | |
| Not Available |
| Full Name | Dr Pooja P Shah Mdpc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1964 Oak Tree Rd Ste B, Edison, New Jersey |
| Authorized Official Name and Position | Pooja Shah (OWNER) |
| Authorized Official Contact | 7326350050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pooja P Shah Mdpc Inc 1964 Oak Tree Rd Ste B Edison NJ 08820-2016 Ph: (732) 331-4943 | Dr Pooja P Shah Mdpc Inc 1964 Oak Tree Rd Ste B Edison NJ 08820-2016 Ph: (732) 331-4943 |
| NPI Number | 1285146845 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 11/03/2017 |
| Medicare PECOS PAC ID | 6305191644 |
|---|---|
| Medicare Enrollment ID | O20180611000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285146845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA09562000 (New Jersey) | Primary |
| Provider Name | Pooja P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477953123 PECOS PAC ID: 0941508816 Enrollment ID: I20170403002300 |
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