Individual
ANISH M SHAH
Active
Individual
ANISH M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08783000
NJ
207RG0100X
Gastroenterology Physician
Primary
MD447971
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102825927
—
PA
01
—
1622112
GATEWAY
PA
01
—
2887427
HIGHMARK BLUE SHIELD
PA
01
—
30153376
AMERIHEALTH CARITAS - WMG
PA
01
—
420232
UPMC
PA
Enumeration date
06/20/2008
Last updated
03/14/2014
Update your record
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