Shah, Siddharth A
Shah, Siddharth A is an individual health care provider with primary practice located at 817 Inman Ave , Edison NJ 08820-1378. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shah, Siddharth A can be contacted via phone (732) 222-2332.Contact Information
Primary practice address
817 Inman Ave
Edison NJ 08820-1378
Phone: (732) 222-2332
Fax: (908) 282-3615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | TP854 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 50473 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | E7312 | Arkansas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA10131400 | New Jersey |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 242320 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 242320 | New York |
Profile Details
| NPI number | 1386703619 |
|---|---|
| LBN Legal business name | Shah, Siddharth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Aug 8th, 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 | 1386703619 | NPPES |
| New Jersey | MEDICAID | 0891631 | |
| New Jersey | MEDICAID | 185729001 |
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