Shah, Pradip S

Shah, Pradip S is an sole proprietor health care provider with primary practice located at 459 Passaic Ave Crane'S Mill - Oak Health Center, West Caldwell NJ 07006-7457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Shah, Pradip S can be contacted via phone (973) 276-3026.

Contact Information

Primary practice address
459 Passaic Ave Crane'S Mill - Oak Health Center West Caldwell NJ 07006-7457
Phone: (973) 276-3026
Fax: (973) 276-7881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MA062084 New Jersey

Profile Details

NPI number 1326059320
LBN Legal business name Shah, Pradip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1326059320 NPPES
New Jersey MEDICAID 7190701

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