Shah, Smita
Shah, Smita is an individual health care provider with primary practice located at 741 Northfield Ave Ste 201 , West Orange NJ 07052-1104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Shah, Smita can be contacted via phone (973) 379-5181.Contact Information
Primary practice address
741 Northfield Ave Ste 201
West Orange NJ 07052-1104
Phone: (973) 379-5181
Fax: (973) 379-6181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA45882 | New Jersey |
Profile Details
| NPI number | 1790847903 |
|---|---|
| LBN Legal business name | Shah, Smita |
| Credentials | MB,BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Nov 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790847903 | NPPES |
| New Jersey | MEDICAID | 0898805 |
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