Provider Demographics
NPI:1508962044
Name:SHAH, NAMRATA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAMRATA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 STELTON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5291
Mailing Address - Country:US
Mailing Address - Phone:732-662-5499
Mailing Address - Fax:732-902-6502
Practice Address - Street 1:1140 STELTON RD STE 101
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5291
Practice Address - Country:US
Practice Address - Phone:732-662-5499
Practice Address - Fax:732-902-6502
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07006200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology