Individual
QAISAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 MARYLAND RD, SUITE 185, WILLOW GROVE, PA 19090-1109
(215) 657-5886
Mailing address
2510 MARYLAND RD, SUITE 185, WILLOW GROVE, PA 19090-1109
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101240889
VA
2084N0400X
Neurology Physician
Primary
MD427212
PA
Other
Enumeration date
10/20/2006
Last updated
03/01/2023
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