Individual
DR. ELIAS SHATTAHI
Active
Individual
DR. ELIAS SHATTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
24045
WV
207RI0200X
Infectious Disease Physician
Primary
MD448805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028649070001
—
PA
05
—
3810017736
—
WV
Enumeration date
07/25/2008
Last updated
04/02/2025
Update your record
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