Active NPIIndividual provider

Rajan S Shah, MD

Internal Medicine, Gastroenterology in Newark, New Jersey

NPI Number1356378434
Practice location
1060 Broad St, Newark, NJ 07102
Fax
973-642-0047
Last updated
October 19, 2012

Rajan S Shah is an Internal Medicine, Gastroenterology based in Newark, NJ. Rajan S Shah practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Rajan S Shah is 1356378434 and holds a License No. MA40413 (NJ). The current practice location address for Rajan S Shah is 1060 Broad St, Newark, NJ 07102 and can be reached out via phone at 973-642-0280 and via fax at 973-642-0047.

Provider Profile Details

NPI Number
1356378434
Provider Name
Rajan S Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1060 Broad St, Newark, NJ 07102
Phone Number
973-642-0280
Fax Number
973-642-0047
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2006
Last Update Date
October 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Broad St
Newark, NJ 07102
City
Newark
Zip
07102
Phone Number
973-642-0280
Fax Number
973-642-0047
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
95 Falcon RD
Livingston, NJ 07039
City
Livingston
State
NJ
Zip
07039
Phone Number
973-642-0280
Fax Number
973-642-0047

License Information

License Number (1)
MA40413
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
MA40413
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rajan S Shah, MD?

The NPI number of Rajan S Shah, MD is 1356378434. It was assigned on June 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Rajan S Shah, MD?

Rajan S Shah, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA40413.

Where does Rajan S Shah, MD practice?

The practice location is 1060 Broad St, Newark, NJ 07102. The office can be reached at 973-642-0280 (phone) or 973-642-0047 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356378434 directly on the NPPES registry website.

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