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

Radhika Shah

Individual provider Dermatology Physician · NPI 1386105179

Radhika Shah is a Dermatology in Newark, New Jersey. Graduated from Rutgers New Jersey Medical School in 2019, 7 years ago. Practices with Csi Medical Group, a 104-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Rutgers New Jersey Medical School
Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (862) 324-1581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1165 N Euclid St, Anaheim, CA 92801-1938 — (714) 991-9990
  • 380 W Central Ave Ste 320, Brea, CA 92821-3066 — (714) 870-7546

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A1865457 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386105179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address150 Bergen St, Newark, NJ 07103-2496

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Csi Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newark