Rajan Shah Md Pa

LBN: Rajan Shah Md Pa
Rajan Shah Md Pa is an health care organization with primary practice located at 1060 Broad St , Newark NJ 07102-2397. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Rajan Shah Md Pa can be contacted via phone (973) 642-0280, or through Shah, Rajan S via phone (973) 642-0280.

Contact Information

Primary practice address
1060 Broad St Newark NJ 07102-2397
Phone: (973) 642-0280
Fax: (973) 642-0047
Website:
Map and Directions
Authorized official contact:
Name: Shah, Rajan S Doctor of Medicine (MD)
Phone: (973) 642-0280

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA40413 New Jersey

Profile Details

NPI number 1265627376
LBN Legal business name Rajan Shah Md Pa
DBA Doing business as
Authorized official Shah, Rajan S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Sep 11th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265627376 NPPES
New Jersey MEDICAID 0560901

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