Organization
PRAKASH SHAH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH N SHAH MD (PRESIDENT)
(610) 762-7272
Entity
Organization
Contact information
Practice address
185 ROSEBERRY ST, WARREN HOSPITAL, PHILLIPSBURG, NJ 08865-1690
(610) 258-4891
(610) 258-4836
Mailing address
247 W MILTON ST, EASTON, PA 18042-6689
(610) 258-4891
(610) 258-4836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
09/17/2019
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