| Pradip A. Shah, M.d. P.c. | |
|
1964 Oak Tree Rd Edison NJ 08820-2016 | |
| (732) 635-0050 | |
| (732) 635-0051 |
| Full Name | Pradip A. Shah, M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1964 Oak Tree Rd, Edison, New Jersey |
| Authorized Official Name and Position | Pradip A. 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 |
|---|---|
| Pradip A. Shah, M.d. P.c. 1964 Oak Tree Rd Edison NJ 08820-2016 Ph: (732) 635-0050 | Pradip A. Shah, M.d. P.c. 1964 Oak Tree Rd Edison NJ 08820-2016 Ph: (732) 635-0050 |
| NPI Number | 1235455098 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 09/01/2010 |
| Medicare PECOS PAC ID | 3678601887 |
|---|---|
| Medicare Enrollment ID | O20100510000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235455098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA05755100 (New Jersey) | Primary |
| Provider Name | Pradip Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437175155 PECOS PAC ID: 0345382537 Enrollment ID: I20100127000107 |
| 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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