Individual
DIVYA KELATH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-2345
(215) 829-3365
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-2345
(215) 829-3365
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD454786
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD454786
PA
Other
Enumeration date
03/21/2007
Last updated
10/18/2019
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