Individual
TRUSHIL GAURAV SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 707-1622
(215) 707-0943
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-9211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057460
IL
207R00000X
Internal Medicine Physician
MD487199C
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD487199C
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME176331
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q8634
TX
207RP1001X
Pulmonary Disease Physician
14659320
WI
207RP1001X
Pulmonary Disease Physician
Primary
Q8634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
HFMG
FL
05
—
PENDING
—
FL
01
—
XH197
HFMG
FL
Enumeration date
07/20/2010
Last updated
05/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us