Provider Demographics
NPI:1659544716
Name:SHAH, SAMIR NALIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:NALIN
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1261 ROUTE 38
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2702
Mailing Address - Country:US
Mailing Address - Phone:856-222-1975
Mailing Address - Fax:856-222-0721
Practice Address - Street 1:1261 ROUTE 38
Practice Address - Street 2:SUITE A
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2702
Practice Address - Country:US
Practice Address - Phone:856-222-1975
Practice Address - Fax:856-222-0721
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2013-05-06
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08383300207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology