Individual
DR. BHUMIK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-2275
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-9019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
078275
GA
207R00000X
Internal Medicine Physician
Primary
MD487253
PA
207R00000X
Internal Medicine Physician
Q4691
TX
208M00000X
Hospitalist Physician
078275
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125061399
PHYSICIAN TEMPORARY LICENSE NUMBER
IL
Enumeration date
07/03/2012
Last updated
12/13/2024
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