Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Shabnam Dhirendra Shah, MSPA-C

Individual provider Physician Assistant · NPI 1710109392

MS. Shabnam Dhirendra Shah, MSPA-C is a Physician Assistant in Hackensack, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

126 State St
Hackensack, NJ 07601-5448
Phone: (973) 504-6326
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00168300 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00168300 (NY)

Record details

NPI number1710109392
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA-C
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 12, 2017

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