Individual
SYED G SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
693 PORT CARBON SAINT CLAIR HWY, POTTSVILLE, PA 17901-8604
(570) 429-1432
(570) 429-1019
Mailing address
1230 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103-6367
(610) 432-4529
(610) 432-2206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD021858E
PA
207RN0300X
Nephrology Physician
Primary
MD021858E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000099134
BLUE SHIELD
PA
05
—
0006506130001
—
PA
01
—
01162201
KEYSTONE
PA
01
—
020301000
FEDERAL BLACK LUNG
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110031030
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
19855
GEISINGER HEALTH PLAN
PA
01
—
50047349
CAPITAL BLUE CROSS
PA
Enumeration date
02/08/2006
Last updated
03/08/2017
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