| Organization Name: | AMIT SHAH, DPM, LLC |
| NPI Number: | 1245518190 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMIT KIRIT SHAH (PHYSICIAN/OWNER) |
| Mailing Address: | 565 New Brunswick Ave Fords |
| State: | NJ US |
| Postal Code: | 088632162 |
| Phone Number: | 7323544454 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2011 |
| NPI Last Update Date: | 07/26/2011 |
| 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: | |