Chandravadan I Shah MD

NPI 1881654168 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1881654168
Gender Male
Enumeration Date 03/23/2006
Last Updated 11/23/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
101 2ND ST
OHI INC
LAKEWOOD NJ, 08701-3324, US
Phone (732) 363-6655
Fax (732) 363-6656
Business Location
101 2ND ST
LAKEWOOD NJ, 08701-3324, US
Phone (732) 363-6655
Fax (732) 363-6656
Toxanomy
Taxonomy Code 207V00000X
License State New Jersey
License Number 25MA04906800
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According to our database, Dr. Chandravadan I Shah MD NPI is 1881654168, taxonomy code is 207V00000X and license number is 25MA04906800, license state is located at New Jersey. Chandravadan I Shah MD physically located at 101 2nd St, Lakewood NJ, 08701-3324. NPI Number Chandravadan I Shah MD has the Individual type.

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1881654168 NPI number is provided on an as is basis without warranty of any kind. 1881654168 is maintained by the National Plan & Provider Enumeration System. The contents of Chandravadan I Shah MD are for informational purposes only.