Shah, Shabnam Dhirendra

Shah, Shabnam Dhirendra is an sole proprietor health care provider with primary practice located at 126 State St , Hackensack NJ 07601-5448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shah, Shabnam Dhirendra can be contacted via phone (973) 504-6326.

Contact Information

Primary practice address
126 State St Hackensack NJ 07601-5448
Phone: (973) 504-6326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00168300 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00168300 New Jersey

Profile Details

NPI number 1710109392
LBN Legal business name Shah, Shabnam Dhirendra
Credentials MSPA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 12th, 2017 - about 8 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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