Organization
POTTSVILLE SLEEP PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIA HUSSAIN SHAH MD (CEO)
(607) 222-5032
Entity
Organization
Contact information
Practice address
1816 W MARKET ST, POTTSVILLE, PA 17901-2002
(570) 581-8218
(888) 383-2102
Mailing address
126 SUNRISE PL, VESTAL, NY 13850-2898
(607) 222-5032
(866) 546-2496
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD454695
PA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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