Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | C10005900 | DE |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | C10005900 | DE |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD060167L | PA |
NPI | 1932291788 |
---|---|
Provider Name | Dr. Suken A. Shah |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 15/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001794028 | (05) | PA |
1112201 | (05) | MD |
20002251 | (05) | NH |
2002247000 | (05) | WV |
2119139 | (05) | NY |
7612086 | (05) | NC |
8205604 | (05) | NJ |
H16357 | (02) |