Individual
PRASHEEN PIYUSH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CONGRESS ST STE B, PORTLAND, ME 04102-2148
(207) 774-5222
(207) 761-4433
Mailing address
1600 CONGRESS ST STE B, PORTLAND, ME 04102-2148
(207) 774-5222
(207) 761-4433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD29393
ME
207RN0300X
Nephrology Physician
Primary
MD29393
ME
208M00000X
Hospitalist Physician
2020-03225
NC
Other
Enumeration date
04/02/2017
Last updated
07/02/2025
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