Shah, Rajan S

Shah, Rajan S is an individual health care provider with primary practice located at 1060 Broad St , Newark NJ 07102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Shah, Rajan S can be contacted via phone (973) 642-0280.

Contact Information

Primary practice address
1060 Broad St Newark NJ 07102
Phone: (973) 642-0280
Fax: (973) 642-0047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA40413 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA40413 New Jersey

Profile Details

NPI number 1356378434
LBN Legal business name Shah, Rajan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 19th, 2012 - about 12 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 1356378434 NPPES
New Jersey MEDICAID 0560901

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