Individual
RUPAL JAYPRAKASH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-5127
(215) 662-3202
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-5127
(215) 662-3202
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD436473
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD436473
PA
Other
Enumeration date
08/15/2007
Last updated
02/08/2013
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