Individual
NIDHI BHUPENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-0850
(800) 243-1455
(717) 531-4789
Mailing address
500 UNIVERSITY DR MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS017604
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
OS017604
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103064499
—
PA
Enumeration date
06/04/2012
Last updated
01/12/2024
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