Shah, Nita K

Shah, Nita K is an individual health care provider with primary practice located at 767 Northfield Ave , West Orange NJ 07052-1194. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Shah, Nita K can be contacted via phone (973) 992-9022.

Contact Information

Primary practice address
767 Northfield Ave West Orange NJ 07052-1194
Phone: (973) 992-9022
Fax: (973) 992-9024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MAO6581600 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MAO6581600 New Jersey

Profile Details

NPI number 1538139399
LBN Legal business name Shah, Nita K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 22nd, 2013 - about 11 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 1538139399 NPPES
New Jersey MEDICAID 8336300

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