Shah, Samir V
Shah, Samir V is an individual health care provider with primary practice located at 200 Bowman Dr Ste D285 , Voorhees NJ 08043-9626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shah, Samir V can be contacted via phone (856) 602-4000.Contact Information
Primary practice address
200 Bowman Dr Ste D285
Voorhees NJ 08043-9626
Phone: (856) 602-4000
Fax: (856) 210-2849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 25MA07205600 | New Jersey |
Profile Details
| NPI number | 1821094194 |
|---|---|
| LBN Legal business name | Shah, Samir V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Sep 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821094194 | NPPES |
| New Jersey | Other | 0072857000 | AMERIHEALTH |
| New Jersey | Other | 3321541 | AMERIHEALTH |
| New Jersey | MEDICAID | 8622604 | AMERIHEALTH |
| New Jersey | Other | 134233377 | AMERIHEALTH |
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