Shah, Vandana A

Shah, Vandana A is an individual health care provider with primary practice located at Woodbridge Developmental Center Rahway Avenue, Woodbridge NJ 07095-0189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shah, Vandana A can be contacted via phone (732) 499-5951.

Contact Information

Primary practice address
Woodbridge Developmental Center Rahway Avenue Woodbridge NJ 07095-0189
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03289300 New Jersey

Profile Details

NPI number 1710914684
LBN Legal business name Shah, Vandana A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 19th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710914684 NPPES
Other 636236B1F MEDICARE BILLING NUMBER

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