Individual
VINTI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-5281
(484) 628-5772
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS015169
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS015169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102608406
—
PA
Enumeration date
08/09/2007
Last updated
11/15/2021
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