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Individual
PRAKASHCHANDRA N SHAH
Active
Individual
PRAKASHCHANDRA N SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA63811
NJ
207R00000X
Internal Medicine Physician
Primary
MD058780L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001418232
HIGH MARK BLUE SHIELD
PA
05
—
0163134504
—
PA
01
—
102366
UNISON HEALTH PLAN
PA
01
—
1517097
GATEWAY HEALTH PLAN
PA
01
—
20019129
AMERIHEALTH MERCY
PA
01
—
2591762
GHI
NY
01
—
50003488
CAPITAL BLUE CROSS
PA
01
—
5717363
AETNA
PA
01
—
9273540002
CIGNA
PA
01
—
P00081340
RAILROAD MEDICARE
PA
01
—
P3171345
OXFORD HEALTH PLAN
PA
Enumeration date
07/21/2006
Last updated
11/03/2023
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