Individual
ANISH M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 FREEDOM WAY, SUITE 200, YORK, PA 17402-8200
(717) 812-5120
(717) 741-3075
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-5120
(717) 741-3075
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
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