Individual
DR. PRATIK A. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Mailing address
91 N YORK RD, APT 200-59, WILLOW GROVE, PA 19090-2152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003920
PA
Other
Enumeration date
07/06/2022
Last updated
07/25/2022
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