Individual
AZHAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3661
ME
207R00000X
Internal Medicine Physician
OS022220
PA
Other
Enumeration date
04/04/2018
Last updated
09/15/2023
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