Provider Demographics
NPI:1750985297
Name:SHAH, MEHUL RATANSHI (RPH)
Entity type:Individual
Prefix:MR
First Name:MEHUL
Middle Name:RATANSHI
Last Name:SHAH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TULIP CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4314
Mailing Address - Country:US
Mailing Address - Phone:908-447-9168
Mailing Address - Fax:
Practice Address - Street 1:514 PARK AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1706
Practice Address - Country:US
Practice Address - Phone:908-322-7499
Practice Address - Fax:908-490-0528
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02768300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist