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Organization
VASCULAR MEDICINE CENTER
Active
Organization
VASCULAR MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHUL N SHAH M.D. (PRESIDENT)
(610) 265-8700
Entity
Organization
Contact information
Practice address
170 N HENDERSON RD, SUITE 302, KING OF PRUSSIA, PA 19406-2155
(610) 265-8700
(610) 265-1868
Mailing address
170 N HENDERSON RD, SUITE 302, KING OF PRUSSIA, PA 19406-2155
(610) 265-8700
(610) 265-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039894L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0531867000
KEYSTONE
PA
01
—
0531867000/028516000
PERSONAL CHOICE
—
01
—
1000720
KEYSTONE MERCY
PA
01
—
4319575
AETNA PPO
PA
01
—
455736/52859
AETNA HMO
PA
01
—
468245
BLUE SHIELD
—
Enumeration date
06/24/2009
Last updated
06/24/2009
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