Doctor Name: | DARSIT KANAIYALAL SHAH |
NPI Number: | 1083718456 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA06903100 |
Business Practice Address: | 1131 Broad Street Ste 103 Shrewsbury, NJ - 07702 |
Business Phone Number: | 7323893388 |
Business Fax Number: | 7323893389 |
Mailing Address: | 1131 Broad Street, Ste 103 SHREWSBURY |
State: | NJ |
Postal Code: | 07702 |
Phone Number: | 7323893388 |
Fax Number: | 7323893389 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 01/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 25MA06903100 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |