Shah, Kamalesh R
Shah, Kamalesh R is an sole proprietor health care provider with primary practice located at 9225 Kennedy Blvd , North Bergen NJ 07047-5361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shah, Kamalesh R can be contacted via phone (201) 453-2800.Contact Information
Primary practice address
9225 Kennedy Blvd
North Bergen NJ 07047-5361
Phone: (201) 453-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA056894 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA05689400 | New Jersey |
Profile Details
| NPI number | 1891780912 |
|---|---|
| LBN Legal business name | Shah, Kamalesh R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Nov 30th, 2016 - about 10 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 | 1891780912 | NPPES |
| New Jersey | MEDICAID | 6183204 |
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