Individual
SAMIR SUNIL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3000
(215) 662-7011
Mailing address
22 LLANFAIR RD, UNIT 6, ARDMORE, PA 19003-2320
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD424458
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2620300
—
OH
Enumeration date
02/27/2006
Last updated
04/29/2025
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