Individual
DR. LINA JITENDRA SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-3714
(215) 728-3923
Mailing address
1500 BARNSWALLOW DR, BENSALEM, PA 19020-4655
(215) 728-3714
(215) 728-3923
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD036838L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010054310001
—
PA
Enumeration date
12/14/2005
Last updated
07/08/2007
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