Shah, Sanjay R

Shah, Sanjay R is an individual health care provider with primary practice located at 246 Hamburg Tpke Suite 207, Wayne NJ 07470-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shah, Sanjay R can be contacted via phone (713) 294-7344.

Contact Information

Primary practice address
246 Hamburg Tpke Suite 207 Wayne NJ 07470-2156
Phone: (713) 294-7344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA08671900 New Jersey

Profile Details

NPI number 1568624302
LBN Legal business name Shah, Sanjay R
Credentials MD. MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jan 22nd, 2015 - about 9 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 1568624302 NPPES
New Jersey Other 177336ACQ MEDICARE PTAN
New Jersey MEDICAID 0223425 MEDICARE PTAN
New Jersey Other 286040YQ5N MEDICARE PTAN

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