Individual
SIMANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-6305
Mailing address
3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-6305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1016080
MA
207P00000X
Emergency Medicine Physician
25MA09260000
NJ
207P00000X
Emergency Medicine Physician
MT194587
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366455
—
NJ
Enumeration date
04/22/2009
Last updated
07/17/2023
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