Individual
MONALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 227-1461
(484) 337-1461
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS020911
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS020911
STATE LICENSE
PA
Enumeration date
04/18/2014
Last updated
07/21/2023
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