Individual
DR. RIDDHI SUNIL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-7351
(570) 703-7801
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D76354
MD
207R00000X
Internal Medicine Physician
MD465407
PA
208M00000X
Hospitalist Physician
Primary
MD465407
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2011
Last updated
03/29/2023
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