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Individual

SYED G SHAH

Active
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Individual

SYED G SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD021858E
PA
207RN0300X
Nephrology Physician
Primary
MD021858E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000099134
BLUE SHIELD
PA
05
—
0006506130001
—
PA
01
—
01162201
KEYSTONE
PA
01
—
020301000
FEDERAL BLACK LUNG
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110031030
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
19855
GEISINGER HEALTH PLAN
PA
01
—
50047349
CAPITAL BLUE CROSS
PA
Enumeration date
02/08/2006
Last updated
03/08/2017
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