| Doctor Name: | DR. TARAL SHAH |
| NPI Number: | 1033406921 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | SC006310 |
| Business Practice Address: | 100 Kings Way E Suite D6 Sewell, NJ - 080802237 |
| Business Phone Number: | 8565826082 |
| Business Fax Number: | 8565826083 |
| Mailing Address: | 100 Kings Way E, Suite D6 SEWELL |
| State: | NJ |
| Postal Code: | 080802237 |
| Phone Number: | 8565826082 |
| Fax Number: | 8565826083 |
| NPI Enumeration Date: | 06/30/2011 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC006310 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |