Individual
SHAKEEL AMANULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 N DUKE ST, SUITE 244, LANCASTER, PA 17602-2374
(717) 544-4930
(717) 544-4964
Mailing address
540 N DUKE ST, SUITE 244, LANCASTER, PA 17602-2374
(717) 544-7679
(717) 544-4964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD422116
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01064290A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531300
ANTHEM PROVIDER NUMBER
IN
05
—
101294097
—
PA
05
—
200872750
—
IN
Enumeration date
02/01/2006
Last updated
03/15/2024
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