Shah, Ravi Gaurang

Shah, Ravi Gaurang is an individual health care provider with primary practice located at 171 Lake Ave , Colonia NJ 07067-1354. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Shah, Ravi Gaurang can be contacted via phone (732) 318-9820.

Contact Information

Primary practice address
171 Lake Ave Colonia NJ 07067-1354
Phone: (732) 318-9820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 22DI02759500 New Jersey

Profile Details

NPI number 1609339555
LBN Legal business name Shah, Ravi Gaurang
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Mar 22nd, 2021 - about 4 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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