Individual
CHANDRAKANT C SHAH
Active
Individual
CHANDRAKANT C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD038812L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406783
HIGHMARK
—
05
—
0007687760006
—
PA
05
—
0015083320001
—
PA
01
—
01227301
CBC
—
Enumeration date
05/23/2006
Last updated
10/10/2013
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