Shah, Shrenik G

Shah, Shrenik G is an sole proprietor health care provider with primary practice located at 55 W Passaic Ave , Bloomfield NJ 07003-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Shrenik G can be contacted via phone (973) 338-8059.

Contact Information

Primary practice address
55 W Passaic Ave Bloomfield NJ 07003-4502
Phone: (973) 338-8059
Fax: (973) 338-6013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA 44420 New Jersey

Profile Details

NPI number 1053352732
LBN Legal business name Shah, Shrenik G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Apr 6th, 2017 - about 7 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 1053352732 NPPES
New Jersey Other 463751473 TAX ID
New Jersey MEDICAID 4699106 TAX ID
New Jersey Other 318777 TAX ID

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