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Individual

DR. POOJA SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(219) 866-5141
(708) 679-2161
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7131

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036172040
IL
2084P0800X
Psychiatry Physician
25MA11569300
NJ
2084P0800X
Psychiatry Physician
4878
WI
2084P0800X
Psychiatry Physician
MD468674
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MT217563
PA

Other

Enumeration date
03/29/2016
Last updated
02/14/2025
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