# COMPREHENSIVE PHYSIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710301692
- **Authorized official:** ALI SHAH MD (OWNER)
- **Authorized official phone:** (614) 202-5282

## Contact information

- **Practice address:** 700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
- **Practice address phone:** (570) 621-4911
- **Mailing address:** 400 E STATION AVE, PO BOX 579, COOPERSBURG, PA 18036-5000
- **Mailing address phone:** (614) 202-5282
- **Mailing address fax:** (866) 559-1609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD445423 | PA | Yes |

## Other

- **Enumeration date:** 02/12/2014
- **Last updated:** 02/12/2014