Provider Demographics
NPI:1538112727
Name:SHAH, YASHICA M (MD FACOG)
Entity Type:Individual
Prefix:DR
First Name:YASHICA
Middle Name:M
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 LANIDEX PLZ STE 220
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2707
Mailing Address - Country:US
Mailing Address - Phone:973-831-2777
Mailing Address - Fax:973-831-2780
Practice Address - Street 1:900 LANIDEX PLZ STE 220
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2707
Practice Address - Country:US
Practice Address - Phone:973-831-2777
Practice Address - Fax:973-831-2780
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA07837100207V00000X
NJ25MA07837100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology