Provider Demographics
NPI:1538361290
Name:SHAH, MILIND NARENDRA (MD)
Entity type:Individual
Prefix:DR
First Name:MILIND
Middle Name:NARENDRA
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11 BISHOP PL
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1178
Mailing Address - Country:US
Mailing Address - Phone:732-516-9741
Mailing Address - Fax:732-516-9741
Practice Address - Street 1:2000 GALLOPING HILL RD
Practice Address - Street 2:BUILDING K-16
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1310
Practice Address - Country:US
Practice Address - Phone:908-298-2835
Practice Address - Fax:908-298-2834
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2016-02-09
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA074537002083X0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine