Individual
DR. WAQAR A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3621
Mailing address
PO BOX 1106, DU BOIS, PA 15801-0906
(814) 371-1784
(814) 371-4812
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD430135
PA
2085R0204X
Vascular & Interventional Radiology Physician
NONE
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
08/01/2006
Last updated
10/26/2007
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