Shah, Shruti A
Shah, Shruti A is an individual health care provider with primary practice located at 225 State Route 35 Ste 102B , Red Bank NJ 07701-5933. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Shah, Shruti A can be contacted via phone (732) 665-6492.Contact Information
Primary practice address
225 State Route 35 Ste 102B
Red Bank NJ 07701-5933
Phone: (732) 665-6492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08317800 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MA08317800 | New Jersey |
Profile Details
| NPI number | 1114158755 |
|---|---|
| LBN Legal business name | Shah, Shruti A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2009 |
| Last updated | Jan 10th, 2023 - about last year |
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 | 1114158755 | NPPES |
| New Jersey | Other | P00953302 | RR MCR PTAN |
| New Jersey | Other | P00953311 | RR MCR PTAN |
| New Jersey | MEDICAID | 0209015 | RR MCR PTAN |
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