Individual
DR. PALLAV N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 868-1100
(610) 868-1111
Mailing address
95 HIGHLAND AVE STE 130, BETHLEHEM, PA 18017-9483
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA07668100
NJ
2085N0700X
Neuroradiology Physician
MD422836
PA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07668100
NJ
2085R0202X
Diagnostic Radiology Physician
MD422836
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034894
—
NJ
05
—
101097230
—
PA
01
—
P00432847
RRMC
PA
Enumeration date
10/13/2005
Last updated
01/04/2019
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