Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Hetal S Shah, MD

Individual provider Family Medicine Physician · NPI 1497784094

Mr. Hetal S Shah, MD is a Family Practice in Marlton, New Jersey. Graduated from Wright State University Boonshoft School of Medicine in 2000, 26 years ago. Practices with Tabernacle Family Physicians LLC, a 5-clinician group and offers telehealth. Licensed in New Jersey.

Years since qualifying
26
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Route 70 East Sutie G-101
Marlton, NJ 08053-2345
Phone: (856) 983-9939
Fax: (856) 983-9936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA07503100 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence MA075031 (NJ)

Record details

NPI number1497784094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 25, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Tabernacle Family Physicians Llc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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