Provider Demographics
NPI:1346332194
Name:SHAH, NIHIR BIHARILAL (MD)
Entity Type:Individual
Prefix:
First Name:NIHIR
Middle Name:BIHARILAL
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 GEORGE ST
Mailing Address - Street 2:SUITE 440
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2008
Mailing Address - Country:US
Mailing Address - Phone:732-994-3278
Mailing Address - Fax:732-354-3181
Practice Address - Street 1:317 GEORGE ST
Practice Address - Street 2:SUITE 440
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2008
Practice Address - Country:US
Practice Address - Phone:732-994-3278
Practice Address - Fax:732-354-3181
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66848207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
011665A5PMedicare ID - Type Unspecified
G74324Medicare UPIN