Shah, Nisha

Shah, Nisha is an individual health care provider with primary practice located at 750 S White Horse Pike , Hammonton NJ 08037-2000. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Shah, Nisha can be contacted via phone (609) 567-0606.

Contact Information

Primary practice address
750 S White Horse Pike Hammonton NJ 08037-2000
Phone: (609) 567-0606
Fax: (609) 567-0606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00319900 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00319900 New Jersey

Profile Details

NPI number 1346659802
LBN Legal business name Shah, Nisha
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2014
Last updated Aug 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346659802 NPPES
New Jersey Other 7820240002 DMERC
New Jersey Other 1346659802 DMERC
New Jersey MEDICAID 0736309 DMERC

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