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Individual

ISMA SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1011 CENTRE RD STE 200, WILMINGTON, DE 19805-1266
(302) 998-0300
Mailing address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C1-0026411
DE
208000000X
Pediatrics Physician
57.246576
OH
208000000X
Pediatrics Physician
C7-0017584
DE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2018
Last updated
05/29/2024
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