Individual
NISHANT C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, DIV OF PED CARDIOLOGY PENN STATE CHILD HOSP, HERSHEY, PA 17033-2360
(717) 531-2050
(717) 531-5380
Mailing address
500 UNIVERSITY DR, PO BOX 850, DIV OF PED CARDIOLOGY PENN STATE CHILD HOSP, HERSHEY, PA 17033-2360
(717) 531-2050
(717) 531-5380
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
4301088163
MI
2080P0202X
Pediatric Cardiology Physician
Primary
MD441748
PA
Other
Enumeration date
04/24/2008
Last updated
02/14/2012
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