Most Relevant Information
Provider Data
| NPI Number: | 1003696808 |
| Provider Name: | RADHIKA SHAH |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2023 |
| Last Updated: | 09/29/2023 |
Provider Practice Location
240 N 8TH ST
PROSPECT PARK
NJ
075082002
Practice Location Phone/Fax
| Phone: | 9739422131 |
| Fax: |
Provider Mailing Location
240 N 8TH ST
PROSPECT PARK
NJ
075082002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |