| Organization Name: | AMIT SHAH DPM, LLC |
| NPI Number: | 1043640568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMIT K SHAH (PHYSICIAN/OWNER) |
| Mailing Address: | 2864 Route 27 Suite I North Brunswick |
| State: | NJ US |
| Postal Code: | 089025010 |
| Phone Number: | 7322979535 |
| Fax Number: | 7322978421 |
| NPI Enumeration Date: | 11/19/2013 |
| NPI Last Update Date: | 01/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00280000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |