Individual
AMIT A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, 9NW55, MAIN HOSPITAL, PHILADELPHIA, PA 19104
(215) 590-1221
Mailing address
3401 CIVIC CENTER BOULEVARD, 7NW41, MAIN HOSPITAL, DIVISION OF GASTROENTEROLOGY, PHILADELPHIA, PA 19104
(215) 590-3247
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT201276
PA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MT201276
PA
Other
Enumeration date
06/21/2012
Last updated
06/25/2019
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